How To Use Your Life Insurance Policy As Collateral

Use your life insurance policy as collateral with this form.

Instructions

Complete Form

Provide information according to the instructions on the form.

Requirements

Complete the insured name, policy number, owner's signature, address and date. The request must contain the assignee's name, address, loan number and amount of the loan.

Signatures

Signatures must be witnessed or notarized and signed within 30 days of receipt. The form must also contain original signatures.

Submit form

Return the completed forms with any required documentation via U.S. mail or overnight mail to Fidelity & Guaranty Life Insurance Company Service Center.

Postal Mail

Fidelity & Guaranty Life Insurance Company Service Center
P.O. Box 81497
Lincoln, NE 68501-1497

Overnight Mail

Fidelity & Guaranty Life Insurance Company Service Center
777 Research Drive
Lincoln, NE 68521

Fax

800-281-5777

Allow 3-5 Days to Process

Fidelity & Guaranty Life Insurance Company will process the request within 3-5 business days of receipt of all required information.

Confirmation

A confirmation of this change will be mailed to the owner's address of record upon completion.

Featured Box Image

Assignment of Insurance Policy as Collateral Form admin 5519

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Still have questions?

Reach out to our customer service.