Applicant Change Form - Modern Woodmen of America - modern-woodmen 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin with Part One, where the Surrendering Applicant must provide their full name, certificate number, and sign to release all control rights. Ensure the witness also signs.
  3. Proceed to Part Two for the Proposed Applicant. Fill in their full name, residence address, and indicate if they live with the Insured. Select whether their support is full or part.
  4. Complete the date of birth and Social Security Number fields for the Proposed Applicant. Remember to certify that the Social Security Number is correct.
  5. State the reason for the change of applicant and provide any necessary dates, such as the date of death if applicable.
  6. Finally, ensure all signatures are completed and witnessed before submitting your form to Modern Woodmen of America.

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WoodmenLife holds an A+ rating from the Better Business Bureau, which is its highest rating.
Changing your beneficiaries (Or use the mobile app.) Your Modern Woodmen representative can help you update your beneficiaries. Or visit modernwoodmen.org, complete a request for change of beneficiary form and send it to Modern Woodmens headquarters.
Scholarship recipients are selected on the basis of: Academic performance. Demonstrated leadership and participation in school and community activities. Work experience. A statement of career and educational goals and objectives. Any unusual personal or family circumstances.
1. An individual becomes a member by joining our shared commitment to family, community and country, and by purchasing a WoodmenLife product. 2. WoodmenLife Extras are available to members.
Modern Woodmen members across the United States participate in numerous activities to socialize, learn and volunteer in their communities. Members unite for volunteer efforts that provide money, donations, hand-on labor and other resources to improve lives in their communities.

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