Follow the steps to complete the beneficiary change request.

1. Click ‘Get Form’ button to obtain the beneficiary change request form and open it for completion.
2. Locate the section labeled 'Policy/Certificate Number' and enter your unique identification number associated with your insurance policy.
3. In the 'On the Life of' field, write the name of the insured person for whom the beneficiary change is being requested.
4. Provide the current date in the designated area to record when the form is being filled out.
5. In the 'Primary Beneficiary' section, enter the name, relationship to you, and contact information (street address, city, state, zip code) for each primary beneficiary you wish to designate.
6. If applicable, move on to the 'Contingent Beneficiary' section to specify any alternate beneficiaries. Fill in their names, relationships, and addresses in the same format as the primary beneficiaries.
7. Review the statement regarding the precedence of this change over previous beneficiary designations and ensure you understand its implications.
8. Sign the form where indicated as the Primary Insured and include the signature date to validate your request.
9. If you have a spouse, they should also sign the designated area, if applicable, and include the date next to their signature.
10. Make a copy of the completed form for your records before submission. After filling out all necessary information, follow instructions for saving changes, downloading, printing, or sharing the form as needed.

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