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Washington Consumer Rights Request

In order to process your request, please provide the information below.

 

Your information

Your commercial claim number is helpful in handling your request.

Consumer rights requests

Which of the following rights would you like to exercise below as outlined (select all that apply)?
By clicking submit, you confirm that the information you have provided on this form is accurate.

COUNTRY Financial® is a family of affiliated companies (collectively, COUNTRY) located in Bloomington, IL. Learn more about who we are.

*Any applicable consumer health data identified as part of this request will be permanently deleted. If you determine that you need additional services as it relates to your relationship with COUNTRY you may need to provide additional consent and information that was deleted at your request prior to consideration of your request for additional services.