Please click the link below to view and print the Life Claims Claimant's Statement for American General Life and Accident Insurance Company policies.
This claimant's statement is to be completed by the beneficiary or other person
claiming a life insurance benefit for an American General Life and Accident
Insurance Company policy. It, along with a certified copy of the death
certificate
of the deceased insured, is to be mailed to the address in the upper left-hand
corner of the statement.
FAX Information
- If you are faxing the Claimant's Statement information, please fax
to Life Claims at 615-749-2257. Please be sure to include the claim number,
if known, and the policy number on the coverage page of the fax.
Please contact our Customer Services department at 1-800-888-2452 for questions
regarding filing this Claimant's Statement.
The document on this page is presented in Adobe's Acrobat Portable Document
Format (PDF). If needed, click on the image below to download and install the
Adobe Acrobat reader.
