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Customer Forms

The forms listed below are available for download in Adobe PDF format. If you are unable to open the PDF files below, you will need to download and install the free Adobe Acrobat PDF Reader.

Credit Insurance

 Credit Life Insurance Claim Form
  New York Credit Life Insurance Claim Form
  Credit Disability Insurance Claim Form
 Third Party Authorization Form
  W-9 Packet
To cancel your credit life and/or disability insurance, please contact the program administrator at 800.841.4777 or contact the selling dealer.

© 2017 Protective Life Corporation