Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Clear Spring Life and Annuity Company before sending sensitive documents. FaxFlow is not affiliated with this organization.
Clear Spring Life and Annuity Company fax number
(317) 574-2050
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.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
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.
Sources and verification
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