Customer Service Forms2018-12-11T14:54:07+00:00

Annuity Withdrawal Request Form L-7119
This form is used to request a withdrawal from your annuity contract.   

Beneficiary Change Form L-5514
This form is used to replace your current beneficiary designation.  For helpful information regarding changing your beneficiary designations, please see this form: Beneficiary Change Information Page L-5514 (I)

Collateral Assignment L-8026
This form is used to assign or release assignment of your contract to a creditor.

Contract Change Form L-5454

This form is used for contract related changes such as to change name, non-forfeiture option, benefits/riders.

2287 Request For EFT
This form is used to set-up or change payments made directly out of your bank account.

Annuity Request For EFT L-2287
This form is used to set-up or change payments made directly out of your bank account.

Notification of Death Form: Notification of Death Form A-8044
This form is use to initiate notification of an insured’s death.

Statement Of Lost Contract L-5431

Change Of Ownership Form L-5535
This form is used to designate or change an owner.

Settlement Election for Payment of Proceeds: L-5515
Settlement Election for Payment of Proceeds

Withholding Preferences: IRS Form W-4P
This form is used to specify withholding preferences for annuitization and supplementary contract payments.

Questions?
Contact Customer Service

Phone: (800) 233-3750
ext. 503

Fax: (847) 850-3304

service@federallife.com

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