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Get Blue Care Income Protection Form

Ration I declare I am the person named on this form or I have a power of attorney to act on the claimant s behalf. I declare that the information provided in this form, to the best of my knowledge and beliefs are true and correct and if any answers to the questions completed in this form are not in my handwriting, I have certified that I have checked them and they are also correct. I understand that if I have made or make any false, misleading or fraudulent statements, conceal or intentionally.

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  • QLD
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  • 2014
  • COMPULSARY
  • 1988
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  • misstatement
  • Superannuation
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