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Click ‘Get Form’ to open the Email: CustServSupportTeamLFG in the editor.
Begin by filling out the 'Policy/Certificate No.' and 'Issued by' sections. Ensure that you type or print clearly, as incomplete information may lead to a declined request.
In the 'Insured Information' section, provide the full legal name, mailing address, social security number, date of birth, and daytime telephone number. If there is a new address, check the corresponding box.
If the owner differs from the insured, complete the 'Owner Information' section with similar details. Remember to submit additional pages if necessary.
Proceed to fill out the 'Beneficiary Designation' section. Specify primary and contingent beneficiaries along with their respective details such as name, address, relationship to insured, and percentage of proceeds.
Finally, ensure all required signatures are provided in the 'Authorizations and Signatures' section before submitting your form for processing.

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