American General Life Insurance Company, 2727-A Allen Parkway, Houston, TX 77019-2026

1. Click ‘Get Form’ to open the Reinstatement Application in the editor.
2. Begin with SECTION I – GENERAL INFORMATION. Fill in the Primary Insured's details including First Name, Last Name, SSN, Gender, Birthplace, and Date of Birth. Ensure accuracy as this information is crucial for your application.
3. Indicate tobacco use status and provide details if applicable. Complete the address section and include contact information such as phone numbers and email.
4. If applicable, complete the Other Insured section for spouses or additional insured individuals by providing their personal information similarly.
5. Proceed to CHILD INFORMATION if children are covered under a rider. Fill in their names, ages, dates of birth, gender, height, weight, and birth weight if under one year old.
6. Complete OWNER INFORMATION if the Primary Insured is not the Owner. Include all necessary details about the owner.
7. In SECTION II: BACKGROUND INFORMATION, answer all questions truthfully regarding medical history and existing coverage. This section is vital for underwriting purposes.
8. Finally, review your entries for accuracy before signing at the end of the document. Ensure that all required signatures are obtained.

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