Preliminary Notice of Illness.

Date

1955, 19uu

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Volume Title

Publisher

UNPUBLISHED

Abstract

"Immediately after beginning of illness this blank must be executed by claimant and physician and forwarded at once to the Company at New York, or to the duly authorized agent for the locality in which this policy is issued."

Description

Single 8.5 x 7 inch form. Printed. Not filled out.

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