Follow the steps to complete your form seamlessly.

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. Input the name of the new Producer/Representative in the designated field. Ensure all names are spelled correctly and formatted appropriately.
3. Enter the JNL number for the Producer/Representative if known. This helps in the identification of the representative.
4. Detail the affected policy or contract by entering the name of the insured or annuitant, including the first name, middle initial, and last name.
5. List the JNL Policy/Contract Reference Number if available. If not, you may skip this step.
6. Provide the date of birth of the insured or annuitant in the format mm/dd/yyyy.
7. Choose between Life and Annuity by checking the appropriate box. Only one selection is allowed.
8. For new applications, indicate if the submission is a new application by checking the relevant box.
9. Fill out the authorizing person's details, including their printed name and signature, along with the date signed.
10. If a joint owner is applicable, complete the same fields for the joint owner including signature and date.
11. Provide the mailing address and contact information as required for efficient processing. Ensure all information entered is accurate.
12. After reviewing your entry for accuracy, save your changes, download, print, or share the completed form as needed.

Complete your Jackson Request To Change Servicing Producer form online today!