Get Application For Modification Of Certificate Contract

The Application For Modification Of Certificate Contract is an important document for users needing to make changes to their existing certificate. This guide provides clear and detailed instructions on how to complete this form online efficiently.

Follow the steps to accurately complete your application

1. Click ‘Get Form’ button to obtain the form and open it in your preferred online editor.
2. Begin by signing where indicated on the form. Ensure that the signature is notarized, as this is a requirement for all modifications.
3. Fill in your name under the section labeled 'Insured.' Specify your membership details by entering your Lodge Name and Number of W.S.A. Fraternal Life.
4. In the 'Certificate Number' field, provide the certificate number for the contract you wish to modify.
5. If you wish to change the beneficiaries, check the box that states, 'I hereby revoke all other designations of beneficiaries heretofore made by me.' Then, provide the name, relationship, and address details for both the primary and contingent beneficiaries.
6. If you need to assign ownership of the certificate to someone else, check the corresponding box and provide the new owner's name, relationship, and address.
7. To request a name change for the insured, check that section and provide the new name. Also, indicate the reason for the name change and attach any necessary legal documentation, such as a marriage certificate or divorce decree.
8. Ensure both the insured's signature and the payer's (owner's) signature fields are completed. Include the date for both signatures.
9. After filling out all relevant fields, save your changes. You can download, print, or share the completed form as needed.

Complete your Application For Modification Of Certificate Contract online today for a seamless process.