Privacy Statement and Declaration: By completing this form, you will have provided Jasmur Insurance Agency with your Personal Information. Personal Information is information that identifies and relates to you or other individuals (such as your dependents). Jasmur Insurance Agency Ltd. will only use your personal information for lawful business purposes and is committed to protecting the integrity, confidentiality, access and use of personal information that we collect from you now and in the course of our business. You have the right to access and correct personal data that may be incorrect or incomplete.