Annuity Withdrawal Request: L-7119AdobeLogo
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.

Collateral Assignment Form: 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.

EFT Authorization Form (Life Insurance): L-2287
This form is used to set-up or change payments made directly out of your bank account.

EFT Authorization Form (Annuities): L-2287
This form is used to set-up or change payments made directly out of your bank account.

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

Statement of Lost Contract Form: L- 5431

Ownership/Contingent Ownership Designation Form: L-5535
This form is used to designate or change an owner or contingent 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

Email Customer Service