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发表于 2016-8-12 20:05
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TD Consent Form
5 u0 u8 Q) C& i* qIn Compliance with Privacy Legislation, we require your consent for the purpose of assessing your claim.
6 k. a0 ^3 @! T9 F/ d* bWe may collect from, use, and exchange information, depending on the type of claim, which may& K( O) g: R$ V: H
include financial and medical information with:
- u5 `* y5 w' _- M1 T3 h& XOther Insurers
3 l+ l% m( A7 a1 n: }: Z H$ lFinancial and/or commercial institutions, including credit agencies, M: G! `& R8 m4 c+ S8 L$ c4 D6 x
Law enforcement or crime prevention agencies6 K; `- [( H4 [
Our representatives, agents or advisors
: E/ A! @$ @& zOther Individuals or organizations having information relating to the claim.0 p7 T$ l8 ^, f' x
Rest assured your personal information with remain confidential. Do I have your consent?
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