The Lincoln National Life Insurance Company, Service Office: PO Box 21008, Greensboro, NC 27420-1008-2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by selecting the appropriate underwriting company from the options provided at the top of the form.
3. Enter the policy number in the designated field to ensure proper identification of your application.
4. Fill in the names of Proposed Insured A and B, ensuring that you include their first, middle, and last names accurately.
5. Answer all questions regarding health and activities honestly. If any question is answered 'Yes', provide detailed explanations in the space provided.
6. Review your entries for accuracy before signing. Ensure that all statements are complete and true as per your understanding.
7. Sign and date the form where indicated. If applicable, have Proposed Insured B sign as well.

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