Publication Request Form

To request a publication prepared in the Office of the Chief Actuary, fill out the form below.   Please be sure to fill out each item completely and accurately. We will be unable to respond to requests for which name and address information is obviously incomplete or inconsistent.

Name:

If we have the publication in portable document format (PDF), may we e-mail it to you?

Yes (If you check "Yes," be sure to enter your e-mail address.)
No (If you check "No," be sure to enter your home or business address.)
Street:
City:
State or Province:
Zip Code:
Country (if not a U.S. resident): 		E-mail address:

Please list desired actuarial publication(s) in the area below

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