The following forms can be downloaded online and faxed back to our office:

Fax: 801-484-2459

Claim Form

Application for Lost Policy

Setup or Change Automatic Withdrawal

Change of Beneficiary

Funeral Planning Form

Medicare Select Hospital Network Listing


You will need Adobe Acrobat Reader to view these forms, you can download the free program here:

Sentinel Security Life Insurance Co. • 2121 South State Street • Salt Lake City, UT 84115 • 801-484-8514
Privacy Policy