Skip to content
Senior Life Insurance
SL Main Site
MENU
MENU
Home
Our Company
Company Leaders
Contact Us
Our Products
Whole Life Insurance Plans
Term Life Insurance Plans
Get A Quote
Policyholders
Policy Guarantees
Policy Forms
Frequently Asked Questions
File A Claim
Pay Your Premium
Active Agents
Careers
Leads the Way
Our SLICE App
Opportunity Meetings
Book A Ride Along
Video Gallery
News & Updates
Get Contracted
Home
Our Company
Company Leaders
Contact Us
Our Products
Whole Life Insurance Plans
Term Life Insurance Plans
Get A Quote
Policyholders
Policy Guarantees
Policy Forms
Frequently Asked Questions
File A Claim
Pay Your Premium
Active Agents
Careers
Leads the Way
Our SLICE App
Opportunity Meetings
Book A Ride Along
Video Gallery
News & Updates
Get Contracted
Home
ยป
File A Claim
File A Claim
Fill out this form to file a claim with Senior Life Insurance Company.
If you are human, leave this field blank.
Your Information
First Name
*
Last Name
*
Address
*
City
*
State
*
--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
*
Phone Number
*
Alternate Phone Number
Email
Relationship to Deceased
*
Deceased Information
Policy Number
First Name
*
Last Name
*
Date of Birth
Date of Death
Cause of Death
Manner of Death
Accidental
Natural
Homicide
Suicide
Location of Death
City
State
--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Beneficiary Information
Name
Date of Birth
Social Security Number
Address
City
State
--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
Phone Number
Heirs to Insured
Name
Name
Name
Other Information
Funeral Home Name
Assignment(s) taken on this claim?
Yes
No
Not Sure
Submit