HOME PRODUCTS CUSTOMERS AGENTS INVESTORS ABOUT Forms Adobe Acrobat Reader is required to view the following files. Form Type: Customer Forms School / Football Forms Death Claim Critical Illness Claim Cancer Claim Disability Claim Accident Claim Well Benefit Cash Surrender Statement of Next of Kin HIPPA Authorization Form Health Claim All Forms Form Description Select Request for Change in Policy - Life/Health Select Application for Reinstatement - Life/Health Select Bank Draft Authorization - Life/Health Select School Accident/Football/Recreational Sports Insurance Brochure Select School Accident/Football/Recreational Sports Insurance Brochure - GA Select School Accident/Football/Recreational Sports Insurance Application Select School Accident/Football/Recreational Sports Insurance Application - GA Select School Accident/Football/Recreational Sports Insurance Claim Form Select School Accident/Football/Recreational Sports Insurance Circular Select Death Claim Form 1 2

HOME PRODUCTS CUSTOMERS AGENTS INVESTORS ABOUT About The National Security Group The National Security Group, Inc. was founded in Elba, AL in 1947. NSG is a family of companies committed to preserving the financial security of individuals and families by providing a diversified line of insurance products and services. The National Security Group's family of companies includes: These companies provide diversified insurance coverage to policyholders in many states throughout the southeastern US. Click here to find an agent near you. For more than sixty-five years, we have developed our product line to fit your world. Our policies are easy to understand, easy to obtain and easy to afford. And we pride ourselves on prompt, convenient and courteous claims service. Easy to Understand Policies We're Here to Help Nothing can replace the careful and thorough reading of an insurance policy, or the answers to questions by a knowledgeable agent or underwriter. National Security has refined its insurance policies over the years to make them as easy as possible to understand and we're always just a phone call away to answer your questions or address any concerns you may have about your coverage. Fast, Reliable Claims Service Just a Click or Phone Call Away Claims always maintain a high priority and are processed as quickly as possible. When you call your assigned claims representative, they talk to you one-on-one. We offer fast, reliable service you can count on. Strength and Stability You Can Count on Us Publicly traded on the NASDAQ stock market, the company consistently receives high ratings from industry analysts for value and performance. We will continue to perform and to earn the trust and confidence of our customers every day. We have made every effort over the years to simplify all aspects of our business, to make insurance easier to understand, easier to obtain, and easier to afford. From National Security to agent, and from agent to insured, we've got you covered.