Get Address/name Change Request Form - Liberty Life

Completing the Address/Name Change Request Form - Liberty Life online is a straightforward process that enables users to update their records easily. This guide provides detailed, step-by-step instructions to assist you in filling out the form accurately and efficiently.

Follow the steps to successfully complete the form.

1. Press the ‘Get Form’ button to access the Address/Name Change Request Form and open it in your editor.
2. Select the request type by checking the appropriate boxes to indicate whether you are requesting an address change, a name change, or both.
3. Fill in the annuitant's information. Include the first name, middle name, last name, telephone number, birth date, and social security number.
4. If you are making an address change, provide both the old and new addresses. Fill in the old street address, city, state, and ZIP code, followed by the new street address, city, state, and ZIP code.
5. For a name change request, complete the change of name information section. Indicate the reason for the change by checking the appropriate box and attach the required legal evidence. Provide your former name and previous signature, then enter your new name and sign with your new signature.
6. Review the authorization statement and confirm that the information provided is true and complete to the best of your knowledge.
7. Sign and print your name in the designated space, then enter the date of the request.
8. Once all sections are completed, you can save changes, download, print, or share the form as needed.

Take the first step toward updating your records by completing and submitting your Address/Name Change Request Form online today!