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Get CO Assured Life Association Claimant's Statement

E enclosed instructions for filing a death claim will be appreciated. Please note that each primary beneficiary must sign a Claimant’s Statement. The mailing address given on the Claimant Statement should indicate where the beneficiary wishes the check to be sent. The beneficiary’s signature must be witnessed, as indicated, at the bottom of the form. If we can be of further assistance, please contact our office toll free at 1-800-777-9777. Sincerely, Claims Examiner CLAIMANT’S STATEMENT .

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