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** MAIL THIS COMPLETED FORM WITH YOUR PREMIUM AND BILLING CHARGE PAYMENT TO: The Lincoln National Life Insurance Company, P.O. Box 0821, Carol Stream, IL 60132-0821 CONTINUATION OF COVERAGE FORM FOR

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How to Fill Out and Mail this Completed Form:

1. Start by carefully reviewing the form and reading any instructions provided. Make sure you understand what information is being requested and the purpose of the form.
2. Use a black or blue pen to fill in the required information. Write legibly and clearly to avoid any confusion or errors.
3. Begin with your personal details, such as your full name, address, and contact information. Some forms may also require your social security number or other identification numbers.
4. Fill in any specific information required by the form. This could include details about your employment, income, or other relevant information. Make sure to provide accurate information as requested.
5. If the form requires any additional documentation or attachments, make sure to include them. This could include supporting documents such as proof of income, identification, or any other required paperwork.
6. Double-check all the information you have entered before proceeding. Verify that everything is filled out correctly and no important details are missing.
7. If the form includes any sections that need to be signed, do so in the designated areas. Read any statements or declarations carefully before signing to ensure you understand and agree to what you are signing.
8. Once you have completed the form, review it once again to ensure everything is accurate and complete.

Who needs to mail this completed form?

1. Individuals who are required to provide the completed form to a specific recipient, such as a government agency, employer, or educational institution.
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3. Typically, the form itself or any accompanying instructions will specify who needs to receive the completed form and provide the necessary mailing address.

Remember, it is important to follow any instructions provided with the form and to keep copies of the completed form and any supporting documents for your records.

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Mail this completed form is a form that needs to be sent via postal mail after it has been filled out.

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The information that must be reported on mail this completed form varies depending on the specific requirements of the form, but typically includes personal or organizational details, relevant dates, and any other requested information.