Home
Forms Library
State farm assignment of benefits form

State farm assignment of benefits form 2026

state farm assignment of benefits form Preview on Page 1

See details

4.9 out of 5

372 votes

The document is a Minor Authorization, Assignment, and Release form that grants State Farm Mutual Automobile Insurance Company permission to use a minor's image, voice, and name for various purposes, including promotional materials. The parent or legal guardian of the minor assigns all rights to the recordings and releases State Farm from any claims related to their use.

Here's how it works

01. Edit your state farm assignment of benefits form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send state farm forms and downloads via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out state farm assignment of benefits form with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open it in the editor.
Begin by entering the name of your child or ward in the designated field. This is crucial as it identifies who the authorization pertains to.
In the section describing the photography shoot or recording session, provide details including dates and a brief description of what will be recorded.
Review the permissions granted to State Farm regarding the use of your child’s image, voice, and name. Ensure you understand that these permissions are irrevocable.
Sign and print your name in the appropriate fields, confirming that you are the parent or legal guardian. Include your address and contact information for verification.
Finally, check any applicable boxes for internal use, such as whether it involves photo, video, or audio recordings.

Start using our platform today to easily complete your State Farm assignment of benefits form online for free!

See more state farm assignment of benefits form versions

We've got more versions of the state farm assignment of benefits form form. Select the right state farm assignment of benefits form version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2010	4.9 Satisfied (372 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

state farm forms and downloads pdf

State farm assignment of benefits form template State farm assignment of benefits form pdf State Farm HRA claim form State Farm affidavit of vehicle theft form State Farm selection rejection form State farm eft form State Farm FS 1 form State farm supplementary contract request forms