Please read instructions on page 3 before completing and executing this form. Group Life Insurance Program ("Program") of.Name and address of the person or entity to whom all right, title and interest under the policy are being assigned. 2. These resources will help you file your claim correctly, document your losses thoroughly, and know when and how to followup through the claim process. Insurer strongly recommends the Assignee submit in written form requests for collateralized policy cash values on an annual basis. Download Adobe Reader or use other PDF software to view PDF forms. Most DMV forms can be saved and filled out on your computer. To fill out this form, first gather all necessary personal and organizational information beforehand. This is an absolute assignment form. It should not be used in connection with collateral or viatical assignments. 2.