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IDENTIFICATION A FRATERNAL BENEFIT ... - catholicforester.org

IDENTIFICATION . A FRATERNAL BENEFIT LIFE INSURANCE SOCIETY SINCE 1883. WORKSHEET. 355 Shuman Boulevard, PO Box 3012, Naperville, IL 60566-7012. Toll-free 800-552-0145 TTY 800-617-4176 On April 2, 2007, COF revised the company's Anti-Money Laundering (AML) policy. The revisions include an IDENTIFICATION Worksheet (IW) as part of the Know Your Customer requirements of the AML law. The IW will be required on all COF. products except Forester Membership and Travel Care travel accident policies, Pathways/FirstVantage policies, and any policy where the annualized premium and/or deposit is more than $3,000. If you have questions, please contact the home office Compliance Department at 800-552-0145.

ACCEPTABLE IDENTIFICATION Agent has the right to accept or refuse any documents. U.S. Passport (unexpired or expired) Valid State-issued Driver’s License with photograph U.S. Social Security Card issued by the Social Security Administration Certificate of U.S. Citizenship

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