Lincoln Heritage | Life Insurance Company

Service Forms

Lincoln Heritage Life Insurance Company provides the following forms that can be downloaded from Adobe Acrobat Reader. If you do not currently have this reader, you can download a free copy of it by clicking on the icon below.

Select a form from list:

For reinstatement applications, please click here.

In order to verify your identity and safeguard your interests, we require a printed and signed form before any changes or updates can be made to your policy. In some cases, we do ask that the form be notarized as well. You may return the forms by mail or fax to the address below:

    Lincoln Heritage Life Insurance Company
    PO Box 29045
    Phoenix AZ 85038-9045

    Or Fax to:
    Service Dept.
    (602)224-2247

For all other requests, please contact us toll-free at (800)438-7180.