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  • Request for Taxpayer ID Number Form

  • Use this form to provide Taxpayer Identification number in compliance with the Taxpayers Relief Act of 1997. The policy number and policy owner’s Social Security or Tax ID number and mailing address are required. Also required is the insured’s name and Social Security number. The form does not need to be 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

    Request for Taxpayer ID Number - W-9 Substitute Form 

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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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