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File an accelerated benefit

This form allows you to file a claim to receive an advance on the death benefit. It will take you about 10 minutes to complete and you will receive an initial follow-up within five business days once the claim is filed.

Your claim

Are you filing this claim for yourself?

Yes

Please make a selection.

About the claim follow-up

Whom should we contact to follow up on the claim?

First name Veuillez inscrire un prénom.

Last name Veuillez inscrire un nom.

Initials

Primary telephone number Please enter a valid telephone number.

ext. Please enter a valid extension.

Secondary telephone number (optional) Please enter a valid telephone number.

ext. Please enter a valid extension.

Email address used for claim follow-up

You will receive an acknowledgement of receipt after the claim is sent. Please enter a valid email address.

I don't have an email address

Please check the box if you do not have an email address.

Cancel

Do you have questions about your claim?

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1 844 442-4636

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Contact the Customer Service Department

Do you need more time?

File an accelerated benefit

Your claim

Are you filing this claim for yourself?

In what capacity are you filing this claim?

About the claim follow-up

Whom should we contact to follow up on the claim?

Mailing address used for the claim process

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