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IN THE LABOUR APPEAL COURT OF SOUTH

www.saflii.org

2 . UNITED ASSOCATION OF SOUTH AFRICA Fourth Respondent. MINISTER OF LABOUR Fifth Respondent. MINISTER OF JUSTICE AND CONSTITUTIONAL

  Court, South, Assocation, Court of south

Group - Assocation Proof of Loss Life Insurance

www.cigna.com

Disclosure Authorization. LMS-613500 Rev. 09/2017 Page 4 of 10. Deceased’s Date of Birth: Date: I AUTHORIZE: any doctor, physician, healer, health care practitioner, hospital, clinic, other medical facility, professional, or provider of

  Life, Group, Insurance, Proof, Loss, Group assocation proof of loss life insurance, Assocation, Deceased

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