Life Insurance

Download the form(s) according to your situation

For sum under $50,000:

Proof of Death - Claimant’s Statement

For sum above $50,000:

Complete all the following forms by the specified individuals

Proof of Death - Claimant’s Statement - Claimant

Proof of Death - Physician Statement - Physician

If you are looking for a form that is not on this page, please contact our Claims Department toll-free at 1-800-266-5667 for the appropriate form and details on claims procedures.

Make a claim