Get Au Zurich Zu11821 2021-2026

The AU Zurich ZU11821 form is essential for applying for non-smoker rates in life insurance. This guide provides clear and comprehensive instructions on how to effectively complete this form online to ensure your application is accurate and complies with necessary requirements.

Follow the steps to successfully complete the AU Zurich ZU11821 form.

1. Click ‘Get Form’ button to access the AU Zurich ZU11821 form and open it in your preferred editor.
2. Begin by filling in the personal details of the life insured. This includes the title, surname, given names, date of birth, address, and contact details such as work, home, mobile phone, and email addresses. Ensure all information is accurate and presented in block letters.
3. Proceed to the smoking history section. Indicate which options apply to you regarding your smoking status—whether you have voluntarily quit smoking or have had a medical event related to smoking. If applicable, provide detailed information in the table provided regarding your condition, test results, treatment received, and associated medical professionals.
4. In the declaration section, confirm that you have not smoked or used nicotine products in the last 12 months. Affix your signature and date to affirm that the information provided is true and complete.
5. If there are any policy owners apart from the life insured, they should also complete the signature and date fields as required. This includes providing their names and confirming their consent to the application.
6. Once all fields have been filled out, review the entire application carefully to ensure all answers reflect accurate information. Make any necessary corrections before proceeding.
7. Finally, save your changes, download a copy of the form, print it, or share it via email as a scanned attachment using the contact information provided for submission.

Complete your AU Zurich ZU11821 form online today and ensure your application for non-smoker rates is processed efficiently.