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231<div class="sc-ca80ff0b-6 ebUqhd"><a href="https://everlylife.exlservice.com/Agentportal/login" id="agentBtn" class="">Existing Agent Login</a></div></div><div class="sc-ca80ff0b-0 dpyhSI"><div class="sc-ca80ff0b-6 ebUqhd"><a id="contact-usBtn" class="" href="/contact-us">Contact Us</a></div></div><div class="sc-ca80ff0b-0 dpyhSI"><div class="sc-ca80ff0b-6 ebUqhd"><a id="nullBtn" class="" href="/make-a-payment">Make a Payment</a></div></div><div class="sc-ca80ff0b-0 dpyhSI"><div class="sc-ca80ff0b-6 ebUqhd"><a id="settlersBtn" class="" href="/customer-support">Customer Support</a><div class="sc-ca80ff0b-1 GOhhh"><span class="sc-ca80ff0b-3 gWBNro"><svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 21 11"><title>Caret</title><path d="m11.231 10.697 9.269-9.24L19.038 0 10.5 8.52 1.962 0 .5 1.458l9.269 9.239a1.03 1.03 0 0 0 1.462 0Z" fill="currentColor"></path></svg></span></div></div><ul class="sc-ca80ff0b-4 gDqDIG" aria-hidden="true"><a class="current" href="/frequently-used-forms">Frequently Used Forms</a><a href="/request-policy-information" class="">Request Policy Information</a><a href="/change-address" class="">Change Address</a><a class="" href="/faqs">FAQs</a></ul></div></div></div></nav></div></div></header><main class="sc-2f79c1dc-0 kkUVPV fs-unmask"><section class="sc-6c5f6f99-0 lagAJc container"><div class="sc-6c5f6f99-1 gKdGQX"><div class="sc-6c5f6f99-2 hBHmD"><div class="sc-6c5f6f99-4 jXmflB"><h1>Frequently Used Forms</h1></div><div class="sc-6c5f6f99-5 efZuGF"><p>Click the buttons below to access some of the most frequently used forms by our policyholders. <a href="/contact-us">Contact us</a> with any questions.</p></div></div></div></section><section class="sc-ba453f68-0 cxUPxQ"><div class="sc-ba453f68-1 bpVsmk"></div><div class="sc-ba453f68-2 jsSgaK"><div class="sc-ba453f68-3 hWgTXj"><div class="sc-5c837f7-0 cdHWkJ container"><div class="sc-5c837f7-1 cxRUqL title"><p>Policyholder Forms</p></div></div></div><div class="sc-ba453f68-4 lcNRfM"><article class="sc-ba453f68-5 bkRpLD"><div class="sc-ba453f68-8 hPPHjs"><div class="sc-ba453f68-9 jKiPMh"><p><strong>Multi Purpose Change Form</strong></p></div><div class="sc-ba453f68-10 cIVpnM"><p>Use this form to update your beneficiaries, request a loan and make a number of other policy changes. Return this form using the contact information at the bottom of the form.</p></div><div class="sc-ba453f68-11 ApeoA"></div><div class="sc-ba453f68-12 flWipl"><a href="/documents/Multi_Purpose_Change_Form.pdf" style="text-decoration:none" target="_blank" rel="noopener noreferrer"><span class="sc-6a63101f-1 jVwStl linkBtn">Download Multi Purpose Form</span></a></div></div><div class="sc-ba453f68-6 eMmYoT bottomLine"></div></article><article class="sc-ba453f68-5 bkRpLD"><div class="sc-ba453f68-8 hPPHjs"><div class="sc-ba453f68-9 jKiPMh"><p><strong>Bank Authorization for Payment (PAC) Form</strong></p></div><div class="sc-ba453f68-10 cIVpnM"><p>Want to have your premiums drafted from your bank account automatically each month? </p><p>Complete this form and return it to us.</p></div><div class="sc-ba453f68-11 ApeoA"></div><div class="sc-ba453f68-12 flWipl"><a href="/documents/PAC_Form.pdf" style="text-decoration:none" target="_blank" rel="noopener noreferrer"><span class="sc-6a63101f-1 jVwStl linkBtn">Download PAC Form</span></a></div></div><div class="sc-ba453f68-6 eMmYoT bottomLine"></div></article></div></div></section><section class="sc-9596fcb2-0 hpDLF"><div class="sc-9596fcb2-1 fLIAPx"><div class="sc-9596fcb2-3 BrDLS"><h2>Form FAQs</h2></div><div class="sc-9596fcb2-7 fWqHQx"><p><strong>General Information</strong></p><ol><li>Not all options listed on the Request for Service form may be available at all or at this time. </li><li>If we have your signature on file, please have someone other than the beneficiary sign as a witness. If we do not, or your signature has changed, a notary will be required. A notarized signature is always required to surrender a policy .</li><li>If you are only changing your name, the form does not need to be completed, simply send in supporting documentation (marriage license, divorce decree, court order, driverâs license, etc.)</li></ol><p></p></div><div class="sc-9596fcb2-4 cxLEja"><div class="sc-9596fcb2-5 jrRBFT"><div class="sc-64007040-0 ccLcyQ"><button aria-expanded="false" class="sc-64007040-1 gpTpbd"><svg fill="none" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 54 30"><title>Down</title><path d="M28.95 29.19 53.667 4.554l-3.9-3.887L27 23.387 4.233.667l-3.9 3.887L25.05 29.19a2.747 2.747 0 0 0 3.006.6c.335-.14.639-.343.894-.6Z" fill="currentColor"></path></svg></button><div aria-hidden="true" class="sc-64007040-2 ksErCD"></div></div><div class="sc-64007040-0 ccLcyQ"><button aria-expanded="false" class="sc-64007040-1 gpTpbd"><svg fill="none" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 54 30"><title>Down</title><path d="M28.95 29.19 53.667 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