Policyholder Forms
Automatic Payment Enrollment Form
California – Automatic Payment Enrollment Form
Policy & Beneficiary Change Request Form
California – Policy & Beneficiary Change Request Form
Transfer of Ownership Form
California – Transfer of Ownership Form
California, Idaho, and Rhode Island: Third-Party Notification
Massachusetts Electronic Signature Procedure Document
New Jersey Residents Age 62+: Third-Party Notification
Massachusetts Privacy Policy
Power of Attorney Submission Form
California – Power of Attorney Submission Form
Guardianship Submission Form
California – Guardianship Submission Form
You can mail a copy of these documents to this address. You may also fax a copy of these documents to 229.299.4756. If you would prefer to email these documents, please email any change of beneficiaries/transfer of ownership forms to cob@srlife.net. Any cancellation forms can be sent to cancellations@srlife.net. Automatic payment enrollment forms should be sent to accountingdept@srlife.net.
ATTN: Customer Support
Senior Life Insurance Company
1 Senior Life Lane
Thomasville, GA 31792
Claims Forms
Click your state to view & download your claims form. We have a reputation for paying our claims within 24 hours after we receive the necessary paperwork.