CashSurr 292

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In Reply Refer To:
310/292-S
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Dear XXXXXXXXXX:
We recently processed a cash surrender on your VA Life Insurance.
Now we would like to know if we did the best possible job. You can help us by doing the following :
1. Fill out the enclosed survey.
2. Send it to us in the enclosed envelope. (We've paid for the postage.)
This survey is voluntary, for services provided by the VA Life Insurance Center, and completing it will help us
improve our service.
Thank you for taking your time to help us. Please return your survey as soon as possible to make sure we can
include your responses in the results.
If you have any questions about your insurance policy, then please feel free to contact us.

Sincerely yours,

Chief, Policyholders Services Division
Enclosures
Survey
Postage Paid Envelope

Insurance Toll-free (1-800-669-8477) Insurance Toll-free fax (1-888-748-5828)
Website & E-mail (www.insurance.va.gov) Hours of operation: (Mon. – Fri. 8:30 a.m. – 6:00 p.m. ET)
Best days to call (Wed. and Thurs.) Automated policy access (24 hours, 7 days a week)

310-290-S
VA GOVERNMENT LIFE INSURANCE
CASH SURRENDER SURVEY
Strongly
Agree

Agree

Neither Agree
nor Disagree

Disagree

Strongly
Disagree

1. It was easy to obtain the cash surrender.

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2. Instructions for applying were clear.

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3. Your payment was received in a timely
manner.

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4. The amount you received was correct.

Yes

No

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5. The overall quality of our service was good.

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6. Our service was good when compared with
other life insurance companies.

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No Other
Insurance

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7. How can we improve our service?

(MMMMYYYY)(survey #)

Public Reporting Burden Statement: VA may not conduct or sponsor, and respondent is not required to respond to this collection of information unless it displays a
valid OMB Control Number. Public reporting burden for this collection of information is estimated to average 6 minutes per response, including the time for
reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. If you
have comments regarding this burden estimate or any other aspect of this collection of information, call 1-800-827-1000.

(OMB Approval No. 2900-0771)