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Clear Spring Life and Annuity Company fax number
(317) 574-2050
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Release of Information
Used for: Release of Information (ROI) requests and revocations submitted by fax
Fax destination details
- Department
- Release of Information
- Purpose
- Release of Information (ROI) requests and revocations submitted by fax
- Form
- Release of Information form — Authorization for Release of Information/Revocation of authorization for Release of Information
- Address
- 10555 Group 1001 Way, Zionsville, IN 46077; Mailing: P.O. Box 80509, Indianapolis, IN 46280-0428
- Voice phone
- 800-990-7626
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
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Complete contract owner information, specify the recipient, sign and date; submit to the company to authorize release of information about contracts
Official form instructions are published as a downloadable file on the organization's website.
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