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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.