Customer-Forms

Customer Forms

Welcome to AAFP Insurance Services online customer assistance. For more information on electronic payment, how to become reinstated, or change a beneficiary, please download any one of the forms below and send completed forms to the following address:

AAFP Insurance Services
Attn: Policyholder Services
PO Box 7470
Leawood, KS 66207-0470

Click here to change address

Click here for applications

download  Download an ACH Authorization Form
This form is used to facilitate electronic payment of your premium from a checking or savings account.

download  Download a Reinstatement Form
This form is used to apply to reinstate a certificate that has lapsed provided specific requirements are met during a specific time frame.

download  Download a Change of Beneficiary Form
This form is used for term life policies. Please contact our office if you wish to designate a trust as additional forms and procedures are required. You can also request forms to change ownership or for a collateral assignment by contacting member services. Call (800) 325-8166 or email insurance@aafp.org.