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SURRPACIFIC LIFE INSURANCE COMPANY Life Insurance Division P.O. Box 2030 Omaha, NE 681032030 (800) 3477787 Fax (866) 3980467 www.PacificLife.comSURRENDER REQUEST Insureds Name: FirstMILastPolicy Number(s)List
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How to fill out my life insurance account

01
To fill out your life insurance account, follow these steps:
02
Contact your life insurance provider and ask for the necessary forms or access them online.
03
Fill out the required personal information, such as your name, address, date of birth, and contact details.
04
Provide the necessary details about your beneficiaries, including their names, relationship to you, and how much of the insurance benefit they should receive.
05
Fill out the medical questionnaire accurately and truthfully. This information will help determine your premium.
06
Nominate a primary and secondary beneficiary to ensure that the insurance benefit goes to the intended person(s) in case of your death.
07
Review the completed form for any errors or missing information.
08
Sign and date the form to indicate your agreement with the provided information.
09
Submit the filled-out form to your insurance provider either by mail or online, depending on their preferred method of submission.
10
Keep a copy of the filled-out form for your records.
11
Follow up with your insurance provider to confirm that your account has been successfully set up.

Who needs my life insurance account?

01
Anyone who wants to financially protect their loved ones or dependents in case of their death may need a life insurance account.
02
Specific individuals who might need a life insurance account include:
03
- Parents with young children: A life insurance account can help ensure that your children are financially supported even if you are no longer there to provide for them.
04
- Breadwinners: If your income is essential for your family's financial stability, a life insurance account can replace the lost income and cover ongoing expenses.
05
- Individuals with financial dependents: If you have family members or others who rely on your financial support, a life insurance account can provide them with funds to maintain their livelihood.
06
- Individuals with substantial debts: If you have significant debts, such as mortgage or loans, a life insurance account can help pay off these debts and prevent passing the burden to your loved ones.
07
- Business owners: Life insurance accounts can also be useful for business owners to protect their businesses and provide financial security to their partners or employees in case of their death.
08
It is advisable to consult with a financial advisor to determine if a life insurance account is suitable for your specific needs and circumstances.

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