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Omplete for all claims being submitted NAME: LOAN NUMBER: NAME OF PRIMARY DEBTOR / CO-DEBTOR: (FIRST NAME ON PROMISSORY NOTE) LAST NAME FIRST NAME, MIDDLE INITIAL DATE OF BIRTH: MM/ DD/ YY AGE: ADDRESS: STREET CITY PROVINCE POSTAL CODE CONTACT TELEPHONE NUMBER: ( ) FOR UNEMPLOYMENT, DO YOU QUALIFY TO RECEIVE BENEFITS FROM HUMAN HAVE YOU RETURNED TO WORK? IF YES, WHAT DATE DID YOU RETURN TO WORK? RESOURCES DEVELOPMENT CANADA? YES NO MM/ DD/ YY YES.

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How to fill out the Gcf092016 Form online

Filling out the Gcf092016 form online can streamline your claim process and ensure that you provide all necessary information correctly. This guide will help you navigate the form efficiently, making sure you understand each section and requirement.

Follow the steps to complete the Gcf092016 Form online.

  1. Click the ‘Get Form’ button to obtain the Gcf092016 form and open it in your online editor.
  2. Complete Section 1, which includes providing your name, loan number, and contact information. Ensure that you fill in all fields accurately.
  3. In Section 1, answer the questions regarding your unemployment benefits eligibility and whether you have returned to work. Be sure to provide the date of return if applicable.
  4. Move on to Section 2, where you must authorize any necessary people to discuss your claim. Fill in the names and relationships, and sign the authorization.
  5. If you are filing an unemployment claim, proceed to Section 3 and if possible, have your former employer complete this section. If it cannot be completed by the employer, provide your Record of Employment and the last two pay stubs.
  6. Gather all necessary supporting documentation as outlined in the checklist included in the form, ensuring to include any required separate sheets for multiple accounts.
  7. Once all sections are completed and signed, save your changes, and prepare to email, mail, or fax the completed form to Assurant.
  8. Finally, retain copies of all submitted documents for your records, and remember to allow 48 business hours for processing your claim.

Start your online application and complete the Gcf092016 form today!

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