(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.How to fill out the Assignment Questionnaire for LIC Policy Holders? Contact the Insurer: Notify your insurance company of your intention to assign the policy. Office of Insurance Regulation 200 East Gaines Street Tallahassee, Florida 32399 Complete the Collateral Assignment Form. This crucial form goes to your life insurer. The Group Policy has been issued to the Policyholder. 4. BOARD or DISTRICT - The School Board of Palm Beach County, Florida, its elected officials, administrative officers or agents. The quickest way to apply for Government Assistance is online through the MyACCESS portal.