Csd001 p 2025

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The document is a Request for Assistance (RFA) form from the California Department of Insurance, designed for consumers to report issues related to their insurance policies. It collects personal information, details about the insurance company, and specifics regarding the complaint. The form also includes sections for authorizing an agent to assist in filing the complaint and outlines privacy practices concerning the collection and use of personal information.

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Versions	Form popularity	Fillable & printable
2014	4.8 Satisfied (304 Votes)

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