Life Insurance Forms

To purchase AMLA Life Insurance, the following forms should be completed and submitted to the AMLA Home Office:

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Application for Insurance - Initial premium payment must accompany application.

Application For Membership - Membership is simultaneous with the purchase of policy. If you already are a member of the AMLA, this is not a required form.

IRS W-9 Form - This form is for IRS reporting purposes.

Change of Beneficiary Form - If you are already a member of the AMLA, and would like to change the beneficiary on an existing AMLA policy, use Change of Beneficiary Form. Fill out this form to change the beneficiary. This form must be completed, submitted and approved at the Home Office to take effect.