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Life Insurance Forms

It is easy to manage your policy.

Find and download the form you need. Print, complete, and sign.  Then mail or fax it to:

Vantis Life
Policy Services Dept.
200 Day Hill Road
Windsor, CT 06095

Fax 860-298-5483

Some forms can be submitted & signed electronically by clicking on below.

Questions?  Call customer service at 1-866-826-8471 

The forms are in Adobe PDF format.     

Form (Click on the name to download)
Assignment of Life Insurance Policy as Collateral
Beneficiary Change Request Form
HIPAA Authorization
Policy Change Request Form
Premium Payment Authorization
Reinstatement Request
Release of Assignment
Request for Certificate of Insurance/Duplicate Policy
Request for Rate Reduction

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© Copyright Vantis Life Insurance Company, Windsor, Connecticut - All Rights Reserved.

Vantis, Vantis Life, and A better life experience are registered trademarks of Vantis Life Insurance Company.

Life insurance and annuities issued by Vantis Life Insurance Company, Windsor, CT (all states except NY) and by Vantis Life Insurance Company of New York, Brewster, NY (NY only). Products not available in all states and state variations may apply.