Use this form to change the beneficiary on your policy. The policy number is required along with the name, Social Security number, birth date, address and relationship of all beneficiaries. The form must be signed by the policyowner and witnessed. The second page includes instructions.
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
Change of Beneficiary Form