For your convenience, find the service form you need from the list below. Complete, sign and date the form and return it to Farm Family Life Insurance Company for processing by mail, fax or e-mail.

 

  


Farm Family Life Insurance

Customer Solutions

PO Box 656

Albany, NY 12201-0656

Fax: (518) 533-4597


 


Or, you can scan a copy of the completed form and email to:

FFLifepolicyservice_mb@AmericanNational.com

 

If you have questions, please contact the policyowner service dept. at (800) 843-3276 Ext 6355 Monday through Friday, 8:30 a.m. to 4:30 p.m. Eastern Time.

 

Change of Beneficiary Form

Use this form to change the beneficiary on your policy.

  

Change of Ownership Form (all states except MA & ME)

Use this form to change the ownership on your policy.

 

Change of Ownership Form (MA only)

Use this form to change the ownership on your policy.

 

Change of Ownership Form (ME only)

Use this form if you wish to change the ownership on your policy.

 

Bank Authorization Form

Use this form to have your premium deducted directly from your checking or savings account on a monthly basis.

 

Policy Service Request 

Use this form for the following requests: 

  • Name and address change
  • Dividend Option change or withdrawal
  • Premium Mode Change
  • Loan/Withdrawal/Partial Surrender
  • Automatic Nonforfeiture Option
  • Surrender
  • Certificate of Insurance