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Enefit or knowingly presents false information in an application for insurance may be guilty of a crime and may be subject to fines and confinement in prison. For Residents of California: For your protection California law requires the following notice to appear on this form. Any person who knowingly presents a false or fraudulent claim for the payment of a loss is guilty of a crime and may be subject to fines and confinement in state prison. For Residents of Colorado: It is unlawful to knowingl.

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