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If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

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How to fill out the Assignment Questionnaire for LIC Policy Holders? Gather all required information before starting. Fill in personal details and the assignee's information. Provide information on the policy being assigned. Complete the declaration section at the end. Review all entries for accuracy before submission.
An assignment of a life insurance policy refers to the transfer of ownership rights, title, and benefits of the policy from the original policyholder (assignor) to another party (assignee).
How to fill out the Assignment Questionnaire for LIC Policy Holders? Gather all required information before starting. Fill in personal details and the assignee's information. Provide information on the policy being assigned. Complete the declaration section at the end. Review all entries for accuracy before submission.
(2) The full name, and age, of the Assignee must be stated. (3) The actual consideration for the assignment received from the assignee should be written in words, not in figures. (4) The Assignor must affix his signature to the Assignment in the presence of a witness other than the Assignee.
WARNING! This form permanently transfers ownership of your FEGLI insurance to another individual, trustee, or corporation (however, premiums continue to be withheld from your salary/annuity). An assignment is irrevocable, and cannot be changed later.
Fill out the personal information section accurately, including your name, address, and contact information. Provide the necessary details about the LIC policy being reassigned, such as the policy number and the policyholder's information. Indicate the reason for the reassignment in the appropriate section of the form.
Assignment of the policy refers to the transfer of rights, title, and policy ownership from the policyholder to another person or entity. The person involved in assigning/transferring the policy is called assignor, and the person/institution to which it is assigned is called the assignee.
Visit the LIC branch office: You can also visit the nearest LIC branch office and request a duplicate policy document. Make sure to carry a photo ID proof and the policy document, if you have it. Online Request: LIC has an online portal where you can request for a duplicate policy document.
(2) The full name, and age, of the Assignee must be stated. (3) The actual consideration for the assignment received from the assignee should be written in words, not in figures. (4) The Assignor must affix his signature to the Assignment in the presence of a witness other than the Assignee.