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Policy Service Forms
(Existing Policies Only)

Ameritas now offers a variety of policy service forms available for downloading and printing. Completed forms may be mailed to P.O. Box 82550, Lincoln, NE 68501-1889 or faxed to 402-467-7335.

Please enter your 10-digit policy number:

Some files are available in Adobe Acrobat format. In order to view this format (.pdf), you will need to have the Acrobat Reader Plug-in (available free of charge from Adobe) installed on your computer. If you do not already have this free software installed on your system, download it now and return to this page by using your browser's "BACK" button.

Not sure? The following link will download a test Acrobat file. If your browser asks you to save this file, you do not have Acrobat installed as a plug-in. Download the plug-in, install it, then proceed.

Test for Acrobat (3 KB)
Rev. 4/20/2010


 
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