Life Insurance and Annuity Search Service - Consumer Request Form

Enter Requestor Information * Denotes required information



Enter Deceased Information * Denotes required information



I certify that I have made a diligent search of the deceased person's records and property, including bank statements and safety deposit boxes, and have asked family members to identify all life policies and/or annuity contracts that I have reason to believe covered the life of the deceased person named above. I understand that life/annuity insurance companies will ONLY respond directly to the actual beneficiary if a policy is located.

I further understand that the role of DIFS is to provide the completed form to all Michigan authorized life and annuity companies. I also understand that a company may require additional information from a beneficiary if a policy is located.

For questions or assistance, contact us at 877-999-6442 (Toll-Free) or 517-284-8800.

67-141
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