Home Office:         


Administrative Office:  

 7633 East 63rd Place, Suite 230, Tulsa, Oklahoma 74133
 PHONE:  (918) 249-2438   FAX: (918) 249-2478

PO Box 5205, Frankfort, Kentucky 40602-5205
PHONE: (866) 440-1357   FAX (502) 875-7084
 
 
   
UNDERWRITING FORMS POLICY SERVICE FORMS MISCELLANEOUS FORMS
   
Adult Proposed Insured Consent Age Correction Form Claim Form
Aviation Questionnaire Beneficiary Change Form Medical Requirements Form
Avocation Questionnaire Cancel Policy - No Cash Value Form W-9 Certified
Asthma Questionnaire Cash Surrender Form Trinity Life Insurance Privacy Notice
Cigarette Questionnaire Change Name Form Annuity Disclosure Form
Diabetes Questionnaire Change Ownership Form Annuity Buyer's Guide
Drug/Alcohol Questionnaire Change Premium Mode Form Oklahoma Guaranty Notice
Epilepsy Questionnaire Change Premium Payor HIPAA Form
Exam form for Paramedic Duplicate Policy or Certificate Request Anti-Money Laundering Training Manual
Financial Questionnaire Lost Policy Affidavit Anti-Money Laundering Test
Foreign Travel Questionnaire Preauthorized Check Transfer Form-Monthly  
High Blood Pressure Questionnaire Policy Loan Agreement  
HIV Form Reinstatement Form  
Military Questionnaire    
Parent Consent Form for Child    
Replacement Form for Oklahoma    
Statement of Good Health