Get Ny National Benefit Life Insurance Company Change Of Name Statement 2020-2025

Changing your name on your insurance policy is a straightforward process when using the NY National Benefit Life Insurance Company Change Of Name Statement. This guide will walk you through each step to ensure that you complete the form accurately and efficiently.

Follow the steps to complete your Change Of Name Statement

1. Press the ‘Get Form’ button to obtain the Change Of Name Statement. This will allow you to open and edit the document as needed.
2. In the 'Insured' field, enter the name of the person whose name is changing, followed by entering their policy number(s) in the designated area.
3. In the section titled 'I hereby certify that the name of the...', specify the role of the individual whose name is changing by selecting 'Insured', 'Owner', 'Beneficiary', or 'Annuitant'.
4. Fill in the 'From' field with the individual's current name as it appears on the policy, and provide your signature confirming the change.
5. Next, write the new name in the 'To' field and repeat the signature process to confirm this change.
6. Indicate the reason for the name change by marking the appropriate option, such as 'Marriage', 'Court Order', 'Correction in Spelling', or 'Other'.
7. Complete the information section by providing the current address, including street, city, state, and ZIP code.
8. Enter the telephone number in the specified format.
9. If known, fill in the Social Security Number of the individual whose name is changing.
10. Enter the date of birth of the individual in the designated areas.
11. Finally, ensure you complete the section that states 'Executed this' by filling in the date and month when you are signing the form.
12. Once all fields are filled accurately, you can save changes, download, print, or share the completed document.

Complete your Change Of Name Statement online today to ensure your insurance records are updated.