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  • Life Insurance Proposal for Youth (17 and under)
    Please complete the information below for a quick and easy insurance proposal!

    Note: All of the information you provide is protected and encrypted.
    It is only accessible by Charlie Sanchez Agency personnel. 

    • Policy Owner's Information 

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    • Family History 
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    • Type of Insurance, Beneficiary, and Child's Information 
    • Health History 
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    • Have you, in the past five years, consulted with, been diagnosed or treated by a member of the medical professions or hospitalized, or taken medication for:

      Answer the following questions based on this criteria:
    • Upload Supporting Documents 
    • Browse Files
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    • Submit Form 
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    • Charlie Sanchez Agency, LLC
      Farmers Insurance & Real Estate
      Office (call or text): 512-251-7847
      Fax: 512-341-9797
      Email: Insurance@CharlieSanchez.com 
      Web Site: CharlieSanchez.com 

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