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Extended Life Endorsement Request Form No. 3849 MAIL WITH PAYMENT TO: Butler Manufacturing, Warranty Group 13500 Boats Road, Grandview, MO 64030 PROJECT / ONE (Please print) ERECTION SUBCONTRACTOR
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How to fill out extended life endorsement request

How to fill out extended life endorsement request:
01
Start by obtaining the extended life endorsement request form. This form is typically available on the insurance provider's website or can be requested from their customer service department.
02
Fill in the required personal information, including your name, address, contact details, and policy number. Make sure to double-check the accuracy of the information provided to avoid any discrepancies.
03
Specify the type of extended life endorsement you are requesting. This could include options such as additional coverage, changing beneficiaries, or modifying the policy terms.
04
Provide detailed information about the changes you wish to make. If you are requesting additional coverage, state the desired amount and any specific details about the coverage you require.
05
If you are modifying beneficiaries, include their names, relationship to you, and their contact details. Be sure to indicate the percentage of the death benefit you would like to assign to each beneficiary.
06
Attach any additional documents or supporting evidence required by the insurance provider. This could include medical records, financial statements, or any other documentation requested to process your extended life endorsement request.
07
Review the completed form before submitting it. Ensure that all information is accurate, legible, and signed where required.
08
Submit the completed form according to the instructions provided by the insurance provider. This may involve sending it by mail, fax, or using an online submission portal.
09
Keep a copy of the completed form for your records. This will serve as proof of your extended life endorsement request in case of any future discrepancies.
Who needs extended life endorsement request?
01
Individuals who have an existing life insurance policy may need an extended life endorsement request if they want to make changes to their coverage.
02
Policyholders who wish to increase or decrease their death benefit, change beneficiaries, or modify the policy terms would require an extended life endorsement request.
03
Those who have experienced significant life events such as marriage, divorce, birth of a child, or a change in financial circumstances may also need to submit an extended life endorsement request to update their policy accordingly.
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What is extended life endorsement request?
Extended life endorsement request is a form used to request an extension on the duration of a life insurance policy.
Who is required to file extended life endorsement request?
Policy holders who wish to extend the duration of their life insurance policy are required to file the extended life endorsement request.
How to fill out extended life endorsement request?
To fill out the extended life endorsement request, policy holders must provide their policy information, reason for extension request, and any other required details as specified by the insurance company.
What is the purpose of extended life endorsement request?
The purpose of extended life endorsement request is to provide policy holders with the option to extend the duration of their life insurance policy beyond the original term.
What information must be reported on extended life endorsement request?
Information such as policy number, policy holder's details, reason for extension request, desired extension period, and any other relevant information must be reported on the extended life endorsement request.
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