In the event no named beneficiary survives the insured and if this form or the policy does not provi 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the name of the insured in the designated field. Ensure you include the first, middle, and last names for accuracy.
3. In the policy number section, input your specific policy number issued by your life insurance company.
4. Revoking previous beneficiary designations is crucial. Confirm this by checking the appropriate box or statement provided.
5. List primary beneficiaries in equal shares. Fill out their full names, social security numbers, dates of birth, relationships to the insured, and addresses.
6. If applicable, add contingent beneficiaries following the same format as primary beneficiaries.
7. Sign and date the form where indicated. A witness signature is also required from a legally competent adult who is not a family member.

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