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Get Colonial Life Form 67715 2012

Any false, incomplete, or misleading information is guilty of insurance fraud, which is a felony. Alabama: Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or who knowingly present false information in an application for insurance is guilty of a crime and may be subject to restitution fines or confinement in prison, or any combination thereof. Arizona Residents : For your protection Arizona law requires the following statement to appear on this form.

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