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Consumer Forms

Site Help

Policyowner's Request for Beneficiary, Owner, or Name Change - for life insurance only

Policyowner's Request for Beneficiary, Owner, or Name Change - for annuities only

Annuitant/Owner Beneficiary Endorsement - for annuities only

Policyowner's Request for Duplicate Policy

Request for Electronic Funds Transfer

Application for Reinstatement - must print on legal paper.

IRA Required Minimum Distribution Request Form

Annuity Partial Withdrawal Request

Spendthrift Protection Form

Withholding Certificate for Michigan Pension or Annuity Payments

Agent forms are available on GILICOlink

All of the forms listed above are PDF files compatible with the Adobe® Acrobat® Reader® software. Visit our Site Help page for information on how to get your free copy.

Choose the form you wish to print/view. Forms requiring completion and/or signature should be completed, signed and dated if necessary, and mailed to the address listed on the form. If the form contains no return address, please mail the completed form to one of the following addresses:

Guaranty Income Life Insurance Company
929 Government Street
Baton Rouge, LA 70802-6089
Guaranty Income Life Insurance Company
P.O. Box 2231
Baton Rouge, LA 70821-2231

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