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Guardian® is a registered trademark of The Guardian Life Insurance Company of America, New York, NY.

Copyright© 2025 The Guardian Life Insurance Company of America. All rights reserved.

For most policy types, you can skip the form and submit your request online. Log in to manage your policies and accounts.

By completing this form you can set up a monthly draft for premium payments or change your banking information. Please email your completed form to ILSolutions@glic.com or mail to The Guardian Life Insurance Co. of America, P.O. Box 981590, El Paso, TX 79998-1590.

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For most policy types, you can skip the form and submit your request online. Log in to manage your policies and accounts.

Complete this form to request a one-time payment from your bank account.

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For most policy types, you can skip the form and submit your request online. Log in to manage your policies and accounts.

By completing this form the beneficiary designation will be changed as indicated. Once Guardian receives this form, all other documents pertaining to beneficiaries will be null and void. That means if you want any of the beneficiaries previously named to continue as your beneficiaries, you must include their names on this form.

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If you're just looking to change your beneficiaries, you can do so online for most policy types. Log in to manage your policies and accounts.

By completing this form the name, owner, or beneficiary designation will be changed as indicated. Once Guardian receives this form, all other documents pertaining to name, ownership and beneficiaries will be null and void. That means if you want any of the beneficiaries previously named to continue as your beneficiaries, you must include their names on this form.

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This form should be used when policy ownership involves a trust. The form provides additional information and clarity regarding the trust and the signing authority of the trustees and in many cases will eliminate the need for you to provide a copy of the trust documents for review. However, there are certain circumstances in which Guardian will still also require the trust documents, including, but not limited to, the following: (1) Pension Trust Cases, (2) Premium Financing Cases, (3) Cases involving Captive Insurance Companies and (4) Any application on an insured aged 70 or more and the total face amount applied for is $1,000,000 or more.

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