Products FAQs Find a Form About Us Find an Agent Contact Us Canada Customers Make a Merit Payment Questions? 1-800-307-0048 Find a Form To provide you with the best service possible, we have included a variety of claims and servicing forms along with instructions for their use, in a printable PDF format. To download and print a form, simply click on the form name below. Attention: Our company takes your information security very seriously, please use caution when sending your own personal information through e-mail. We will only be able to respond to general questions through e-mail correspondence. If you have questions or correspondence which requires you to include personal information, or will require proper customer verification, please call our offices during normal business hours. If you cannot find a form, or have any questions on how to complete a form, please contact us or call our Insurance Service Center at 800-307-0048. Canada Customers, please upload your forms here. U.S. Customers filing an INITIAL INVOLUNTARY UNEMPLOYMENT INSURANCE (IUI) Claim, please file and upload your documents here. U.S. Customers, for all other claim and/or form filings, please upload your completed documents here. POLICY SERVICES FORMS Beneficiary Change Form Change of Policy/Certificate Request Form W-9 Request for Taxpayer Identification Number and Certification Form W-9 Request for Taxpayer Identification Number and Certification Instructions Cancellation Request Form CLAIM FORMS Claim Form for Reporting a Death Reporting a Death Claim Form - English Reporting a Death Claim Form - Spanish Disability Claims Initial Disability Claim Form - English Initial Disability Claim Form - Spanish Continuing Disability Claim Form - English Continuing Disability Claim Form - Spanish Unemployment Claims Initial IUI Claim Form - English Initial IUI Claim Form - Spanish Continuing IUI Claim Form - English Continuing IUI Claim Form - Spanish Accidental Dismemberment Accidental Dismemberment - English Accidental Dismemberment - Spanish Collateral Protection (CPI) Auto (CPI/ASI/VLDI) - Triton - English Auto (CPI/ASI/VLDI) - Triton - Spanish GAP GAP Waiver Addendum - OneMain - English GAP Waiver Addendum - OneMain - Spanish GAP Insurance - Triton - English GAP Insurance - Triton - Spanish Contact Us Legal & Privacy Copyright © 1996-2021, OneMain Solutions. All rights reserved.

Products FAQs Find a Form About Us Find an Agent Contact Us Canada Customers Make a Merit Payment Questions? 1-800-307-0048 Legal & Privacy Privacy Policy Privacy Notice California Consumer Privacy Act Privacy Policy Política De Privacidad De La Ley De Privacidad Del Consumidor De California Terms of Use Electronic Consent Agreement SMS Terms of Use Contact Us Legal & Privacy Copyright © 1996-2021, OneMain Solutions. All rights reserved.