Forms

Form Number	Description	Type
Riders/Benefits Forms
HHA-ECR-Employer	Hold Harmless Agreement for Employer Owned Policy with ECR	Riders/Benefits Forms
HHA-ECR-Trust	Hold Harmless Agreement for Trust Owned policy with ECR	Riders/Benefits Forms
HHA-OneIns-MultECR	Hold Harmless Agreement-One Insured-Multiple Policies with ECR	Riders/Benefits Forms
Questionnaires
ICC12-600 10/12	Tobacco Use Questionnaire (for New Business)	Questionnaires
Authorization Forms
PLX-U398	Parental Consent for Life Insurance Policies	Authorization Forms

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