Customer Service Forms

Several Customer Service forms are available for download.

Adobe Acrobat Reader is required to view the forms below. If you don't already have Acrobat Reader, you can download it for free here.

Click on the form name to download it. Once you have downloaded the form you need, print and fill it out. You can mail it to us at Investors Life Insurance Company of North America, Attn.: Policyholder Services. P.O. Box 149138, Austin, TX 78714-9138.

• Policy Service Request Form — This is a multi-purpose service form that may be used to change name or address, change dividend options, apply for a policy loan or request a duplicate policy.
• Change of Beneficiary Form
• Authorization for Automatic Payment Plan — This form may be used to set up or change automatic premium payments.
• Ownership Changes Form
• W-9 - Request for Taxpayer Identification Number and Certification (IRS Form)

You can also get customer service forms faxed to you! Click here to find out how.

Didn't find what you need? Contact us to request specific forms or information.