Get Lost Policy Certificate

Filling out the LOST POLICY CERTIFICATE is an essential step for individuals who have misplaced their insurance policy or annuity contract. This guide provides a step-by-step approach to ensure you complete the form accurately and efficiently.

Follow the steps to complete the LOST POLICY CERTIFICATE online.

1. Press the ‘Get Form’ button to access the LOST POLICY CERTIFICATE and open it in your preferred online editor.
2. In the 'Contract Information' section, input your contract number. If the annuitant's name differs from the owner's name, ensure to provide the annuitant's name as well.
3. Enter the full name of the contract owner, and provide their Social Security number. This information is necessary for identification purposes.
4. Fill in the street address, city, state, and zip code of the contract owner to ensure correct correspondence.
5. Include a telephone number where you can be reached in case additional information is needed.
6. If there is a joint owner for the contract, please provide their name in the designated field.
7. In the 'Certification of Lost Insurance Policy/Annuity Contract' section, confirm that the insurance policy or annuity contract is lost by signing in the space provided.
8. The owner must also date their signature to indicate when the form was filled out.
9. A witness signature is required. The witness must sign and date the form, confirming they have observed the signing.
10. The printed name and address of the witness should also be recorded for verification purposes.
11. Review all the provided information for accuracy. Once verified, you can save your changes, download, print, or share the completed form as needed.

Take action today by completing your LOST POLICY CERTIFICATE online.