Policy Service Forms
Home Up

 

Home
Up

Following are many of the policy service forms you may need for your policies with American General and Old Line Life:

 

Annuity Service Request                                       Partial Withdrawal Request

Annuity Claim Form                                              Policy Change Request - TX

Bank Draft Authorization                                       Policy Change Request - LA, NM, AR & OK

Beneficiary Change Form                                       Policy Service Request

Collateral Assignment Request                               Power of Attorney Affidavit

Corporate Resolution (sample)                               Reinstatement Application - TX

Death Claim Form                                                 Reinstatement Application - LA, NM, AR & OK

Heirship Affidavit                                                  Assignment/Release

Name Change Form                                               Trust Affidavit - Individual

Non-smoker Affidavit                                             Trust Affidavit - Corporate

Non-smoker Affidavit (separate owner)                    W-9 Form

Ownership Change Form                                        Term Conversion/GIR