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Policy owner forms.

Need to make an update to your policy or request additional information? Explore our most often-used forms to get started quickly and easily. Our Customer Service team is available to assist if you have any questions.

Filter By Form Below

Applies to All States
Request for Automatic Payment Plan
Use this form to authorize recurring automatic premium withdrawals from a checking/savings account.
Applies to All States
Request for Automatic Payment Plan (Spanish)
Use this form to authorize recurring automatic premium withdrawals from a checking/savings account.
Applies to All States
Application for Reinstatement
This form may be required to reinstate a lapsed or terminated policy.
Applies to All States
Application for Reinstatement (Spanish)
This form may be required to reinstate a lapsed or terminated policy.
Applies to All States
Reinstatement by Redate
This form is required to reinstate a policy by deferring past-due premiums. Certain restrictions apply to this method.
Applies to All States
Reinstatement by Redate (Spanish)
This form is required to reinstate a policy by deferring past-due premiums. Certain restrictions apply to this method.

Form FAQs for policy owners.

Explore common questions we hear from policy owners about requesting updates to their policies and completing the appropriate forms.  



What if I can't find the form I need?

Please reach out to our Customer Service team for assistance. We will help you locate the form you need and walk you through the process to complete and submit it.

How do I submit a form to Homesteaders?

The policy owner forms linked above are available in PDF format. You can use the fillable fields in the PDF or print the form to complete.

Please note: Some of our forms require a signature or a witness signature.

Once completed, you can mail, fax or email the form to our Customer Service team.

Our mailing address is PO Box 1756, Des Moines, IA 50306-1756. Our fax number is 515-440-7695. If emailing, please send your completed form to service@homesteaderslife.com.

If you have any questions regarding the completion of these forms, please reach out to our Customer Service team at 800-477-3633. Our business hours are 8 a.m. to 4 p.m. Monday through Thursday, and 8 a.m. to 1 p.m. Friday (Central Time).

How long does it take to process my form?

We process most form requests within two business days, depending on the nature of the update and the information provided.

How can I update the beneficiary on my policy?

You can update your beneficiary information by completing and submitting our Beneficiary Change Form linked above.

What should I do if I lose my policy documents?

If you need a replacement copy of your policy, simply fill out the Request for Duplicate Policy Form linked above and submit it to our Customer Service team via mail, fax or email.

How can I reinstate my coverage if my policy has lapsed?

We will gladly consider restoring your coverage if your policy has lapsed.

If it has been less than 120 days (four months) since the last premium was due, simply mail a check or money order to our Home Office. Our mailing address is PO Box 1756, Des Moines, IA 50306-1756. Please include a note with the policy number, insured’s name, address and telephone number along with your payment.

If it has been longer than 120 days since your last premium was due, a reinstatement application is also required with your payment for the past due amount. Download and complete the Application for Reinstatement Form (linked above).

Please note: We are not able to restore your coverage until all past due premiums and the reinstatement application are received and approved in our Home Office.

Need assistance with your policy?

Our Customer Service team is just one click away. If you have any additional questions about our forms or your Homesteaders policy, please contact our team for assistance.