While we have tried to make our Claims Form as simple as possible, here are some tips that might avoid confusion and delay when completing the form:

        Must all be completed.

• Note the Mailing & Courier addresses for you to mail your completed form and other claim requirements.  These addresses are also available on Claims Overview
• Complete all of Section D, especially Trustees and Companies

• If an individual is the beneficiary, provide the individual Social Security Number
• If an estate, trust, corporation etc is the beneficiary, provide the Tax Identification Number

• Read the general fraud warning statement or the state-specific one if it applies to you and sign on Page 5. 
• Have a third-party sign as a witness. 

•  Must be completed only if:
   1) the insured died within the contestable period (within the first two years of
       the policy issue date) OR
   2) the insured's death was accidental and the policy contains an accidental
      death rider.   

Provide your signature on pages 3, 5 (and 6 if it is a contestable claim).