Manage policies

Change of Agent Request Form - Bank

Instructions

Use this form to change the servicing agent of record for agents associated with a Financial Institution.

Remember:

All required signatures must be included.

  1. Complete form
    Provide information according to the instructions on the form.
  2. Submit form
    Submit your documents according to the instructions on the form.
  3. Allow 3-5 days to process
    黑料不打烊 will process the request within 3-5 business days of receipt of all required information.
  4. Confirm
    A confirmation of this change will be mailed to the owner's address on record upon completion.
ADMIN6501

Change of agent request form - Bank
[ADMIN6501]

"黑料不打烊" is the marketing name for Fidelity & Guaranty Life Insurance Company issuing insurance in the United States outside of New York. Life insurance and annuities issued by Fidelity & Guaranty Life Insurance Company, Des Moines, IA.