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Annuity Surrender or Withdrawal Request

• Use this form to make a withdrawal from or surrender a annuity certificate

Death Claim Form For Life Insurance

• Use this form to submit a death claim for a life insurance certificate

Lodge Transfer Application

• Use this form to transfer to a different lodge

Member Service Request Form

• Use this form to:
  • Change a beneficiary or owner, to change a last name, request a loan, or request a duplicate certificate for a life insurance certificate
  • Change a beneficiary, request a duplicate certificate, or change a last name on a annuity certificate only

Scholarship Donation Form

• Use this form to make a donation to the KSKJ Scholarship Fund

Sick Benefit Claim Form

• Use this form to submit a claim for Sick Benefit (only applicable if the life insurance certificate has a Sick Benefit Rider).

Surgical And Permanent Disability Claim Form

• Use this form to submit a claim for Surgical or Permanent Disability (only applicable if the life insurance certificate has a Surgical Rider).