This version of the form is not currently in use and is provided for reference only. Download this version of Form INS7255 for the current year.
This is a legal form that was released by the Ohio Department of Insurance - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is form INS7255?
A: Form INS7255 is the Disclosure and Authorization Concerning Background Reports for Viatical Applications in Ohio.
Q: What is the purpose of form INS7255?
A: The purpose of form INS7255 is to authorize background reports for viatical applications in Ohio.
Q: Who needs to complete form INS7255?
A: Anyone applying for a viatical application in Ohio needs to complete form INS7255.
Q: What information does form INS7255 require?
A: Form INS7255 requires personal information such as name, address, social security number, and consent to the background check.
Form Details:
Download a fillable version of Form INS7255 by clicking the link below or browse more documents and templates provided by the Ohio Department of Insurance.