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    Life insurance

    Nationwide life insurance forms & applications

    Find the form or application you need for your Nationwide life insurance policy. Then, print it and mail it to the address on the form.

    Get forms for making account updates, application requests and more

    Make account updates, including:

    • Name
    • Address
    • Dividend options
    • Billing mode
    • Planned periodic premium

    Life policy owner’s service request (PDF)

    Get application requests for:

    • Policy loan options
    • Partial surrender options
    • Dividend withdrawal amount
    • Method of distribution
    • Federal tax withholding information
    • Taxpayer ID certification

    Loan, partial surrender & dividend withdrawal request (PDF)

    More forms for all accounts:

    Important information for residents of Kentucky, Maine, Oregon and Washington

    Get definitions of commonly used insurance terms and related information for your state.

    How to buy long-term care coverage

    You need to work with an insurance professional to buy this type of product. If you don't have one, our life insurance specialists are here to help.

    Give us a call today at 1-855-863-9639 for a no-obligation consultation.

    Schedule a call

    Hours of operation are 9 a.m. to 8 p.m. Monday through Thursday and 9 a.m. to 6 p.m. ET on Friday.