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This form is an Assignment of Money Due. The assignor agrees to grant to the assignee all title and interest in a certain debt or money due as described in the agreement. The form also provides that it is the responsibility of the assignor to collect the debt.
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When submitting a claim, assignee must prove interest and extent thereof. This assignment includes all insurance now in effect, or that may become effective in the future, under the captioned group life Policy.Report a claim on a policy with us.
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