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  • Loan Repayment Form

  • Use this form to make a loan repayment or submit additional premium on your policy. The policy number is required along with the amount being submitted.

    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

    Loan Repayment  Form  

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You have indicated you wanted to make changes to your policy, but you did not submit the changes to your agent. Leaving this page means your changes will not be submitted.

Changes must be submitted to your agent before the request is considered complete. You may request that your Agent provide you with a quote before submitting the changes.

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