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St complete The Authorization for Use in Obtaining Information and PART B and PART C. Return this form to: Reliance Standard Life Insurance Company Attn: Group Life Claims P.O. Box 7307 Philadelphia, PA 19101-7307 Phone 1-800-351-7500 In addition to the Proof of Loss Claim Statement, the following items are required: 1. Certified Death Certificate (with raised or colored seal) providing the final cause and manner of death. 2. Original enrollment forms and any subsequent changes, including all.

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