Independent Life’s Forms

• Direct Deposit Form
• Change of Address Form
• Beneficiary Form

Please send forms to Independent Life Insurance Company via email, fax, or mail.

Mail:

      Independent Life Insurance Company
      P.O. Box 679053
      Dallas, Texas 75267-9053

Fax: (214) 666-4833

Telephone: (800) 793-0848

Email: customerservice@independent.life