Use this form to release all interest in the policy and assign it to another. This should not be used for collateral. The policy number is required along with name, date of birth and Social Security number of new primary and contingent owner. It must be signed by the previous primary and contingent owner and witnessed.
The form can be completed online, then printed and signed. Click the link below and the form will open in a new window. Once completed and printed, clear the form and/or close the window.
You may mail or deliver the signed and witnessed form to your agent or to the address below:
Farm Bureau Life Insurance Company of Michigan
7373 W. Saginaw Hwy., PO Box 30200
Lansing, MI 48909-7700
Absolute Assignment and Transfer of Policy