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Notice of loss

Avis de sinistre

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  1. Complete this Notice immediately to inform the Company of any event involving the insured.
  2. This Notice should be mailed within 30 days of the date of the event to Humania Assurance Inc., Saint-Hyacinthe, Quebec J2S 2Z6 / Tel.:1-800-773-8404.
  3. Upon receipt if this notice, the Head Office Benefits Department will contact you as soon as possible.

Coordinates of the insured

Address

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About the loss

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