Form preview

Get the free Life Insurance Application

Get Form
This document serves as an application form for a 10-Year and 20-Year term life insurance policy offered through the Collegiate Alumni Trust. It collects personal information, eligibility status, requested coverage amounts, and health information for underwriting purposes. It includes sections for beneficiary designation and authorization for medical information access.
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign life insurance application

Edit
Edit your life insurance application form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your life insurance application form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit life insurance application online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use the services of a skilled PDF editor, follow these steps:
1
Create an account. Begin by choosing Start Free Trial and, if you are a new user, establish a profile.
2
Simply add a document. Select Add New from your Dashboard and import a file into the system by uploading it from your device or importing it via the cloud, online, or internal mail. Then click Begin editing.
3
Edit life insurance application. Rearrange and rotate pages, add new and changed texts, add new objects, and use other useful tools. When you're done, click Done. You can use the Documents tab to merge, split, lock, or unlock your files.
4
Get your file. When you find your file in the docs list, click on its name and choose how you want to save it. To get the PDF, you can save it, send an email with it, or move it to the cloud.
Dealing with documents is simple using pdfFiller.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out life insurance application

Illustration

How to fill out life insurance application

01
Gather personal information such as name, address, date of birth, and Social Security number.
02
Provide information about your health history, including any medical conditions and medications.
03
List any lifestyle habits that may affect your insurance, such as smoking or high-risk activities.
04
Choose the type of life insurance you are applying for (term, whole, universal, etc.).
05
Determine the coverage amount you need and the duration of the policy.
06
Provide details about your beneficiaries, including their relationship to you and their contact information.
07
Answer any additional questions posed by the insurer honestly and accurately.
08
Review the application thoroughly before submitting to ensure all information is correct.

Who needs life insurance application?

01
Individuals with dependents who rely on them financially.
02
Parents who want to secure their children's future in case of untimely death.
03
Homeowners with mortgages who want to ensure their family's home is paid off.
04
Business owners who need to cover business expenses or protect business partners.
05
Individuals with significant debts or financial obligations that could burden loved ones.
06
Anyone who wants to leave a financial legacy or help cover funeral expenses.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.1
Satisfied
54 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

Yes, you can. With pdfFiller, you not only get a feature-rich PDF editor and fillable form builder but a powerful e-signature solution that you can add directly to your Chrome browser. Using our extension, you can create your legally-binding eSignature by typing, drawing, or capturing a photo of your signature using your webcam. Choose whichever method you prefer and eSign your life insurance application in minutes.
pdfFiller has an iOS app that lets you fill out documents on your phone. A subscription to the service means you can make an account or log in to one you already have. As soon as the registration process is done, upload your life insurance application. You can now use pdfFiller's more advanced features, like adding fillable fields and eSigning documents, as well as accessing them from any device, no matter where you are in the world.
Complete your life insurance application and other papers on your Android device by using the pdfFiller mobile app. The program includes all of the necessary document management tools, such as editing content, eSigning, annotating, sharing files, and so on. You will be able to view your papers at any time as long as you have an internet connection.
A life insurance application is a formal document that an individual submits to an insurance company to request coverage under a life insurance policy. It typically includes personal information, health details, and lifestyle choices that help the insurer assess risk and determine eligibility for coverage.
Generally, the person seeking life insurance coverage is required to file a life insurance application. If the policy is for someone else, such as a child or dependent, the applicant (policy owner) would need to submit the application on their behalf.
To fill out a life insurance application, gather necessary personal information such as name, address, age, and occupation. Complete health-related questions truthfully, including medical history and lifestyle habits. Review the application for accuracy and completeness before submission.
The purpose of a life insurance application is to provide the insurance company with essential information to evaluate the applicant's health and risk factors, determine insurability, and calculate premium rates for the life insurance policy.
Information typically reported on a life insurance application includes personal details (name, age, address), medical history, occupation, hobbies, and lifestyle choices such as smoking or alcohol use. Financial information may also be required to assess insurability.
Fill out your life insurance application online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.