Client forms
We are pleased to provide our clients and customers access to our most frequently requested administrative and claim forms.
Click on the link below for the form you need. You will need Adobe Acrobat Reader to view the PDF forms. If you don’t have Acrobat Reader, download the free software.
- Allotment Form
- Absolute Assignment of Section 1035a
- Designation of Beneficary
- Change of Name
- Deferment of Salary Increase or Reduction of Salary
- Payroll Deduction Employee Allocation
- Transfer of Ownership
- Insured/Annuitant - Direct Deposit Request
- Distribution Request Form
- 403(B) Policy Loan Agreement
- Governmental 457(b) Policy Loan Agreement
If you need assistance or do not see what you re looking for, please contact us.
| Policyholder Services & Claims | ||
| Telephone | Fax | |
| 866-363-3290 | 866-368-0095 | nqzvavnc@hf.voz.pbz |
| Mailing | Overnight Courier Address | |
IA American/IAP Attn Customer Service P.O. Box 19009 Greenville, SC 29602-9009 | IA American/IAP Attn Customer Service 2000 Wade Hamptoon Blvd. Greenville, SC 29615 | |