Please complete as much information as possible to initiate your claim verification. Download the necessary forms below and print. Complete the forms, then upload or attach the forms, as well as any images of the insurance policy(ies), certificate of death, and beneficiary ID(s). This will expedite your claim.
Irrevocable Assignment

Affidavit of Lost Policy

Affidavit of No Estate

Same Name Affidavit

Download all forms

Assignment Form

  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
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  • (if unknown leave blank)