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Get Non-smoking Declaration Form
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How to fill out the Non-smoking Declaration Form online
Filling out the Non-smoking Declaration Form online is a straightforward process that ensures compliance with your insurance requirements. This guide will provide clear instructions tailored to your needs, allowing you to efficiently complete the form in a digital format.
Follow the steps to complete the Non-smoking Declaration Form online
- Click ‘Get Form’ button to access the Non-smoking Declaration Form and open it in your preferred online editor.
- Begin by entering your policy holder information. Fill in your given name, member surname, and initials. Ensure that you print clearly for easy readability.
- Next, provide your street address, referenced number, city, province, and postal code. This information is crucial for identifying your policy.
- Indicate your marital status by selecting either 'Single' or 'Married/Common-law'. If applicable, include your spouse’s name only if their smoking status is changing.
- Enter your telephone number for contact purposes. Make sure to include the area code.
- In the declaration section, confirm that neither you nor your spouse has smoked or used tobacco in any form within the last twelve consecutive months. This is a vital section to ensure the accuracy of your claims.
- Sign and date the form where indicated. Your signature certifies that you understand the implications of any misrepresentation in this declaration.
- Once all fields are completed, you can save your changes. Choose the option to download, print, or share the completed form as needed.
Complete your Non-smoking Declaration Form online today!
What happens if I don't disclose to an insurance company that I use tobacco? If you report inaccurate or false information about your tobacco use on an application, an insurer is allowed to retroactively impose the tobacco surcharge to the beginning of the plan year.
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