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Browse Genworth’s collection of life insurance forms. Once you locate the appropriate form, download and complete in full. Please print out, sign and return it to the address found directly on the life insurance form. If you have not already done so, please download Adobe Reader ® to view the forms.
Genworth’s life insurance forms will assist you with making changes to your index universal life, guarantee universal life, term life insurance and whole life insurance accounts. These forms will help you conduct life insurance authorizations, requests, name/address change, naming a beneficiary and other updates.
Are you looking for one of these forms?
These are the top two most downloaded life insurance forms. We've listed them here for your convenience. If the form you are looking for is not one of these two, all other life insurance forms available online are listed on this page, below.
Beneficiary Change Form
Electronic Funds Transfer (EFT) - Premium Renewal
Submit address or name changes for yourself or other parties on your policy, or to add, change or delete a third party listed on your policy to receive billing notices (for use with Life Insurance policies only). Login to submit your address change online .
Use to request a change to the Servicing agent on your policy(ies).
Information must be completed and received by the 1st of the month to process allocation changes on the 15th of the month. Available for Index UL products only.
Use when authorizing a third party to receive information about your policy. The authorized person will be required to provide appropriate security verification for any phone requests for information.
Request beneficiary changes on any life insurance policy. If change of ownership and beneficiary is needed please use the Ownership and beneficiary designation request form applicable for your state (listed below).
Use this form to authorize cancellation of your policy.
Required to show signing authority for contracts owned by a Trust for Genworth Life and Annuity Insurance Company, Genworth Life Insurance Company and Genworth Life Insurance Company of New York.
Use when assigning policy proceeds to cover a loan (i.e. bank loan).
Required to show signing authority for an Attorney-in-Fact acting under a Power of Attorney for the policy or contract owner. For use with Life Insurance and Annuities only.
Request a duplicate copy of a lost or destroyed policy or contract.
Request automatic withdrawals from your bank account to pay premiums on life or long term care insurance policies, or to update bank account information for policies already drafting premiums. Login to submit your electronic funds transfer online .
Used to request the following transactions on your Index Universal Life insurance policy: one-time withdrawal or loan, recurring withdrawals or loans, loan type switching, or full surrender.
This sample copy of Genworth Life Insurance Company's Universal Life Insurance policy is being provided for informational purposes only. THIS SAMPLE POLICY IS NEITHER A CONTRACT OF INSURANCE NOR AN OFFER TO CONTRACT.
Use to request a loan on your life insurance policy.
Request owner and beneficiary changes on any life insurance policy.
Use when assignment of policy is relinquished or released.
Use to request a full surrender of a life insurance policy.
Use to make a change in planned premium amount or frequency of payment on a universal life policy.
Use to request a loan from your variable life insurance policy.
Use to request a full surrender of your variable life insurance policy.
Use to request a transfer of current investments in your variable life insurance policy.
Use to request a partial withdrawal from your variable life insurance policy.
Use to request a withdrawal on your life insurance policy.
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