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LegalShield Enrollment Form

Last 4 of Social Security Number

Personal Information:

Choose One Plan:









Payroll Deduction Authorization:

I hereby Authorize my employer listed above to deduct the selected plan price each month from my earnings for my LegalShield/IDShield Membership and to remit such amount directly to LegalShield. 

Family Information:

Thanks for submitting! Keep an eye on your email for information about using your membership. Make sure to check your spam.

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