Unum 1172 form fill-2026

1. Click ‘Get Form’ to open the unum 1172 form in the editor.
2. Begin with Section 1: Employee Information. Fill in your full name, mailing address, Social Security number, telephone number, and date of birth.
3. Move to Section 2: Primary Beneficiary(ies). Enter the names and details of your chosen primary beneficiaries, including their relationship to you and ensure the total percentage equals 100%.
4. Proceed to Section 3: Contingent Beneficiary(ies). List your contingent beneficiaries with the same required details as above.
5. In Section 4, provide information for any Additional Named Insured/Spouse, including their name, address, Social Security number, telephone number, and date of birth.
6. Complete Sections 5 and 6 for Additional Named Insured/Spouse Primary and Contingent Beneficiaries respectively, ensuring all details are accurate.
7. Finally, sign and date the form in Section 7 to validate your submission.

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