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03783-33 CL Life Beneficiary SPECIAL.indd

03783-33 CL Life Beneficiary SPECIAL.indd 2025

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The document is a Proof of Death Beneficiary Statement from Colonial Life, outlining the process for beneficiaries to claim life insurance benefits after the death of the insured. It includes instructions for completing the form, requirements for documentation such as a certified death certificate, and details on potential fraud penalties. The statement must be filled out by the beneficiary or legal representative, and it provides contact information for submitting claims.

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