Common Contracts
1 similar Statement and Agreement contracts
STATEMENT AND AGREEMENT PERTAINING TO LOSS OR DESTRUCTION OF POLICYStatement and Agreement • February 2nd, 2023
Because of the loss or destruction of my policy I hereby request that HOMESTEADERS LIFE COMPANY issue a duplicate copy of the policy, or a certification of coverage in lieu thereof, to be numbered the same as the original. In consideration of the granting of this request, I agree as follows:
