Loading
Get Drug Usage Questionnaire 144e - Bmo.com
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to use or fill out the Drug Usage Questionnaire 144E - BMO.com online
Completing the Drug Usage Questionnaire 144E is an essential step in the insurance application process with BMO Life Assurance Company. This guide provides step-by-step instructions to help you fill out the form accurately and efficiently.
Follow the steps to successfully complete the questionnaire online.
- Click the ‘Get Form’ button to access the Drug Usage Questionnaire 144E, which will allow you to fill it out online.
- Begin by entering your name at the top of the form in the designated field. Make sure to use your full legal name as it appears on official documents.
- Fill in your date of birth in the format dd/mm/yyyy. Ensure that this matches your identification documents, as discrepancies can cause delays.
- Enter your policy number, if applicable, in the section provided. If you are completing this form for the first time, you might leave this blank.
- Respond to the questions regarding drug usage. For each substance listed, select 'Yes' or 'No'. If you answer 'Yes' to any question, provide additional details, including type, usual quantity, frequency of use, and dates used. Be thorough and honest in your responses.
- If you have consulted a doctor or received treatment for drug abuse, provide the names and addresses of the doctors or institutions along with the relevant dates in the following field.
- Answer the following questions regarding job loss, arrests, liver disorders, and alcohol consumption as prompted.
- Consider any additional information that may clarify your responses. Fill in the last fields with any comments or important details that would help the insurance company understand your situation.
- Review all information entered to ensure accuracy. Once completed, you may have options to save the changes, download the completed form, print a copy, or share it as required.
Start filling out your Drug Usage Questionnaire 144E online today to move forward with your insurance application.
The NSDUH collects data through face-to-face interviews with a representative sample of the population at the respondent's place of residence, including households and non-institutional group quarters (e.g., shelters, rooming houses, dormitories).
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.