Form P-LSDO: Life Settlement: Provider/Broker Disclosures to Owner

This document has been approved by the Department of Insurance and it does not need to be filed with the Department by a broker or provider. A provider or broker may use this form to provide an owner with disclosures that are required by ARS § 20-3204(A) and (B). A provider or broker who intends to use a different form must submit the form for approval using the NAIC System for Rate and Form Filings ("SERFF"), accessible at