Name Change Request Form for Insurance Policies
This Name Change Request form is essential for policyholders of Lincoln Heritage Life Insurance Co. It allows you to officially request a name change for the insured, owner, or beneficiary associated with a policy. Ensure you follow the instructions carefully for a seamless submission process.
Edit, Download, and Sign the Name Change Request Form for Insurance Policies
Form
eSign
Add Annotation
Share Form
How do I fill this out?
To fill out this form, carefully print your information in ink. Ensure that all name designations are the full legal names. After completion, the policy owner must sign the form before submission.
How to fill out the Name Change Request Form for Insurance Policies?
1
Print the form clearly in ink.
2
Provide full legal names for all designations.
3
Ensure the policy owner signs the form.
4
Enter the reason for the name change.
5
Submit the completed form as directed.
Who needs the Name Change Request Form for Insurance Policies?
1
Policy owners who have changed their name due to marriage.
2
Beneficiaries needing to update their names after divorce.
3
Individuals adopting children who want to update names.
4
Heirs who have inherited a policy and need a name change.
5
Insured individuals updating their legal names for any reason.
How PrintFriendly Works
At PrintFriendly.com, you can edit, sign, share, and download the Name Change Request Form for Insurance Policies along with hundreds of thousands of other documents. Our platform helps you seamlessly edit PDFs and other documents online. You can edit our large library of pre-existing files and upload your own documents. Managing PDFs has never been easier.
Edit your Name Change Request Form for Insurance Policies online.
With PrintFriendly, you can easily edit your PDF files to fit your needs. Our PDF editor allows you to modify text, rearrange sections, and make necessary corrections with ease. Start editing your PDF today to ensure all your information is accurate.
Add your legally-binding signature.
Signing your PDF on PrintFriendly is a straightforward process. You can electronically sign documents directly on our platform, ensuring personalized approval of your changes. Make your signature stand out with our user-friendly signing tools.
Share your form instantly.
Sharing your PDF documents with others is made simple on PrintFriendly. Use our sharing options to send your edited PDFs via email, or share links directly. Collaborate seamlessly with others and ensure your documents reach the intended recipients.
How do I edit the Name Change Request Form for Insurance Policies online?
With PrintFriendly, you can easily edit your PDF files to fit your needs. Our PDF editor allows you to modify text, rearrange sections, and make necessary corrections with ease. Start editing your PDF today to ensure all your information is accurate.
1
Open the PDF file using our PrintFriendly editor.
2
Select the text or section you want to modify.
3
Make necessary changes using the edit options.
4
Review your edits to ensure accuracy.
5
Download the edited PDF for your records.
What are the instructions for submitting this form?
To submit your completed Name Change Request form, you can email it to service@lhlic.com or fax it at 602-808-0521. You may also mail the physical copy of the form to Lincoln Heritage Life Insurance Co., 4343 E. Camelback Rd., Phoenix, AZ 85018. Ensure that you include any required identification or documents as specified. It is advisable to keep a copy of the submitted form for your records.
What are the important dates for this form in 2024 and 2025?
Keep an eye on the deadlines for submitting name change requests for the years 2024 and 2025. It is advisable to submit the form ahead of significant life events, such as marriage or adoption. Ensure your records are accurate by adhering to the submission timelines provided by the insurance company.
What is the purpose of this form?
The purpose of the Name Change Request form is to update the records associated with an insurance policy when the name of the insured, owner, or beneficiary changes. This form is essential for maintaining accurate and up-to-date information within the insurance company's records. By properly submitting this form, policyholders can ensure that their insurance coverage remains valid and properly reflects their current legal name.
Tell me about this form and its components and fields line-by-line.
- 1. Policy Number: Unique identifier for the insurance policy.
- 2. Insured Name: Full legal name of the insured individual.
- 3. Owner: Name of the policy owner, if different from the insured.
- 4. Old Name: Previous name to be replaced.
- 5. New Name: New name to be registered.
- 6. Reason for Change: Justification for the name change requested.
- 7. Signature of Owner: Signature confirming the request from the policy owner.
- 8. Date: Date of submission of the form.
- 9. Phone Number: Contact number for follow-up.
What happens if I fail to submit this form?
Failure to submit this form may lead to outdated information in your policy. This can cause complications during claims or inquiries regarding your insurance coverage. It is crucial to submit the form accurately to avoid any issues.
- Outdated Policy Information: Inaccurate records can lead to problems during claims.
- Increased Processing Time: Delays in processing your name changes.
- Potential Denial of Claims: Inconsistencies in the policy details may affect claims.
How do I know when to use this form?
- 1. After Marriage: To update your name to reflect marital status.
- 2. Following Divorce: To change the name back to your maiden name.
- 3. Due to Adoption: When adopting a new name legally.
- 4. When Inheriting a Policy: To change beneficiary information.
- 5. During Legal Name Change: When a court-ordered name change is enacted.
Frequently Asked Questions
How do I request a name change using this form?
Fill out all required fields on the Name Change Request form and submit it as per the instructions.
What if I make a mistake while filling out the form?
You can edit the form using our PrintFriendly editor to correct any mistakes before submission.
Is there a deadline for submitting this name change request?
Ensure that your form is submitted as soon as possible to avoid delays in processing your name change.
Can I submit this form online?
Yes, follow the submission instructions for online options if available.
What happens after I submit the form?
Once received, we will process your request and send a confirmation copy to you.
Do I need to provide identification?
Yes, it is advisable to include a form of identification to verify your name change.
Can beneficiaries submit this form?
Only the policy owner can submit the form, but beneficiaries may request assistance.
What is the processing time for name changes?
Processing times can vary; check with customer service for specific timelines.
Are there fees associated with this name change request?
There may be fees; please check the policy documentation or contact customer support.
How will I be notified of changes?
You will receive a confirmation by mail once your name change is processed.
Related Documents - Name Change Request
Preparticipation Physical Evaluation Form
The Preparticipation Physical Evaluation Form is used to assess the physical health and fitness of individuals before they participate in sports activities. It covers medical history, heart health, bone and joint health, and other relevant medical questions.
Health Insurance Tax Credits Guide 2015
This document provides a comprehensive guide on health insurance and premium tax credits for the 2015 tax year. It explains the tax filing rules, eligibility criteria, and detailed instructions for claiming and reporting premium tax credits. Essential for individuals who bought health insurance through the ACA Marketplaces.
TSP-77 Partial Withdrawal Request for Separated Employees
The TSP-77 form is used by separated employees to request a partial withdrawal from their Thrift Savings Plan account. It includes instructions for completing the form, certification, and notarization requirements. The form must be filled out completely and submitted along with necessary supporting documents.
Ray's Food Place Donation Request Form Details
This file contains the donation request form for Ray's Food Place. Complete the general information section and follow the guidelines to submit your donation request at least 30 days in advance. The form includes fields for organization details and donation specifics.
Pastoral Ministry Evaluation Form for Board of Elders
This evaluation form is designed for the Board of Elders to assess and provide feedback on a pastor's ministry. It aims to offer affirmation and identify areas for improvement. The form covers preaching, worship leading, pastoral care, administration, and more.
Health Provider Screening Form for PEEHIP Healthcare
This file contains the Health Provider Screening Form for PEEHIP public education employees and spouses. It includes instructions on how to fill out the form for wellness program participation. The form collects personal, medical, and screening details to assess wellness.
Common Law Marriage Declaration Form for FEHB Program
This form is used to declare a common law marriage for the purpose of enrolling a spouse under the Federal Employees Health Benefits (FEHB) Program. It requires personal details, marriage information, and additional documentation. Submission instructions and legal implications are included.
MyPRALUENT™ Enrollment Form Instructions and Details
This document provides comprehensive instructions and details for enrolling in the MyPRALUENT™ program, including benefits, patient assistance, and clinical support. It outlines the required patient, insurance, and prescriber information, as well as the steps for treatment verification and household income documentation.
Application for Certified Copy of Birth Certificate
This form is used to request a certified copy of a birth certificate from the Clerk of Court Office. It includes details about the applicant, the person named on the certificate, and requires a photo ID and the correct fee. This form is only for walk-in services.
Torrance Memorial Physician Network Forms for Patients 18+
This file contains important forms for patients 18 years and older registered with Torrance Memorial Physician Network. It includes patient registration, acknowledgment of receipt of privacy practices, and financial & assignment of benefits policy forms. Complete these forms to ensure your medical records are up-to-date and to understand your financial responsibilities.
Vodafone Phone Unlocking Guide: Steps to Unlock Your Phone
This guide from Vodafone provides a step-by-step process to unlock your phone. Learn how to obtain your unlock code by filling out an online form. Follow the instructions to complete the unlocking process.
Texas Automobile Club Agent Application Form
This file is the Texas Automobile Club Agent Application or Renewal form, which must be submitted within 30 days after hiring an agent. The form includes fields for agent identification, moral character information, and requires signature from both the agent and an authorized representative of the automobile club. Filing fees and submission instructions are also provided.
