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| The documents listed below are
PDF documents that require the Adobe Acrobat Reader®
to be installed on your system. Click here
to download a free version |
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Policyholder Forms |
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HIPAA Authorization/Disclosure - Policyholder Information |
Download |
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Policyholder Change & Service Request |
Download |
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Policyholder Change of Beneficiary Request |
Download |
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Concord Heritage Life Policyowners Service Request |
Download |
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Child Term Rider Conversion Form |
Download |
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Mail policyholder forms to the following location:
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Customer
Care Center
Allstate
Workplace Division
1776 American Heritage Life Drive
Jacksonville, FL 32224-6687 |
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Fax policyholder forms to the following phone number:
1-972-510-1795 |
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