Primerica life insurance claim form 2025

1. Click ‘Get Form’ to open the primerica life insurance claim form in the editor.
2. Begin by filling in the 'Bank or Credit Union To Be Drafted' section with the name of your bank, followed by the city and state.
3. Indicate your desired bank draft day by selecting a date from the dropdown menu provided.
4. Enter your policy number in the designated field to ensure accurate processing of your request.
5. Print and fill in your full name as the policyowner, along with your Social Security Number for verification purposes.
6. If applicable, provide the full name of the bank account owner and ensure their signature is included along with the date.
7. Select whether your account is a checking or savings account by marking the appropriate box.
8. Complete your mailing address, including street address, city, state, and ZIP code for correspondence.
9. Attach a signed voided check or deposit slip from the account to be debited before submitting your form.

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