Edit, Download, and Sign the Change of Beneficiary Request Form - The Hartford
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How do I fill this out?
To fill out this form, start by providing the policy information in Section A. Next, enter the primary and contingent beneficiary details in Sections B and C respectively. Lastly, complete Section D with necessary signatures.

How to fill out the Change of Beneficiary Request Form - The Hartford?
1
Complete Section A with policy information.
2
Enter primary beneficiary details in Section B.
3
Provide contingent beneficiary information in Section C.
4
Sign the form in Section D.
5
Submit the form using the provided instructions.
Who needs the Change of Beneficiary Request Form - The Hartford?
1
Policyholders looking to update their beneficiary information.
2
Families needing to specify who will receive benefits.
3
Individuals involved in trust arrangements needing to change beneficiaries.
4
Executors of estates arranging benefits for heirs.
5
Corporate representatives managing business insurance policies.
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What are the instructions for submitting this form?
Submit the completed Change of Beneficiary Request Form by mailing it to The Hartford's Individual Life Division at PO Box 64582, St. Paul, MN 55164-0582. Alternatively, you may fax it to 1-888-568-9705. Ensure the form is sent promptly to avoid any delays in processing your request.
What are the important dates for this form in 2024 and 2025?
For 2024, ensure all beneficiary changes are submitted by the policy renewal date to avoid coverage issues. In 2025, review your beneficiary designations following significant life events, such as marriage or divorce, to ensure accuracy.

What is the purpose of this form?
The Change of Beneficiary Request Form is designed to allow policyholders to update their beneficiary designations on life insurance policies. It ensures that the policyholder's wishes are clearly documented and honors the intended recipients upon the insured's passing. This form plays a crucial role in estate planning and financial security, providing peace of mind to policyholders.

Tell me about this form and its components and fields line-by-line.

- 1. Policy Information: Includes policy number and names of the insured and policy owner.
- 2. Primary Beneficiary Information: Details of the primary beneficiaries designated to receive benefits.
- 3. Contingent Beneficiary Information: Information regarding secondary beneficiaries, if the primary does not survive.
- 4. Signatures: Required signatures to validate the changes purported by the policy owner.
What happens if I fail to submit this form?
Failure to submit the Change of Beneficiary Request Form could lead to outdated beneficiary designations, which may not reflect your current wishes. It's crucial to ensure timely completion and submission of the form to avoid complications during the claims process.
- Outdated Beneficiaries: The current beneficiaries may not receive benefits as intended.
- Claim Delays: Family members may face delays in receiving benefits if the form is not submitted timely.
- Legal Complications: Potential disputes may arise if the beneficiaries listed are not up-to-date.
How do I know when to use this form?

- 1. Marriage: To add a spouse as a primary beneficiary.
- 2. Divorce: To remove an ex-spouse from beneficiary status.
- 3. New Children: To include newborns or adoptive children as beneficiaries.
- 4. Change of Ownership: When transferring policy ownership, new beneficiaries may need to be designated.
- 5. Regular Review: To ensure beneficiaries are updated according to your current wishes.
Frequently Asked Questions
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While you can edit the PDF freely, you must download it to save your changes.
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You can easily make corrections by reopening the PDF in PrintFriendly and editing the necessary fields.
Is there a limit to the number of beneficiaries I can add?
There is no strict limit, but please ensure you designate each beneficiary accurately.
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After filling out the form, follow the submission instructions provided on the document.
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What if I forget to include a beneficiary?
You can always edit the form again to include any missing beneficiaries before submitting.
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