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Application Form |
To enrol in Accifamily, simply complete
the application
form, print it and return it to
us at the following address:
Industrial Alliance Insurance and Financial
Services
Accident Insurance - Accifamily
1080 Grande Allée West
PO Box 1907, Station Terminus
Quebec City, Quebec G1K 9Z9
Make sure that you consult the Description
of Coverage , including the exclusions
as well as the procedure for filing a claim .
Don’t forget to clearly indicate
the option (BASIC option or MACCIMUM
option) and the desired term (one year or two),
as described in the section Options
Offered as well as the 2008-2009
rate schedule.
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