Forms

Policy owner’s Request for Beneficiary, Owner, or Name Change – for life insurance only

Policy owner’s Request for Beneficiary, Owner, or Name Change – for annuities only

Annuitant/Owner Beneficiary Endorsement – for annuities only

Policy owner’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.

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