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Get and Sign Settlers Life Insurance Company Claim Forms
Recipient Yes No Please list all policy numbers you are making a claim on Policy Number s. Do you have the original Settlers Life and/or Huff Cook policies YesNo If yes please remit all original policies along with this claim form and a certified death certificate FUNERAL HOME HANDLING SERVICES Name Address City State Zip Will policy proceeds to be assigned to the funeral home Yes No If yes also please submit notarized Assignment by appropriate beneficiary. REQUIRED BENEFICIARY INFORMATION I...
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