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A certified copy of the Death Certificate stating cause and manner of death must be attached to this form. Submit claim by mail to: The Hartford. Group LifeRead more
For all injuries occurring on or after October 1, 2008, this form should only be used to notify the insurance carrier/claim administrator of a work place injuryRead more
Claim Form Instructions: This form covers two separate claims for reimbursement that are available to members of the Settlement. Class. Eligible SettlementRead more