0080 413 Authorization for Agent Information Change - Log In-2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the associate's name, code number, and date at the top of the form.
3. For a change of business address and phone number, fill in the street address, suite number (if applicable), city, state, zip code, and contact numbers. Ensure you have your upline SMD’s mail-to code if required.
4. If updating your home address or email, complete the respective fields with your new information.
5. For a name change, provide both your previous and current names along with any legal documentation required.
6. If there are changes to spousal information, indicate whether it's an addition or deletion and provide the spouse's name.
7. Finally, sign the document and include your code number before submitting it via email or fax as instructed.

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