Life Assurance Company provides the following forms in .PDF format for your convenience. Simply download and print the form that's right for you.

Life Assurance Mailing Address
Life Assurance Company, Inc. -- P.O. Box 20667 -- Oklahoma City, OK 73156 -- 405-810-1111 -- 1-800-522-1314 

• Application for Insurance - Click Here
• Supplemental Application for Credit Insurance - Click Here
• Life Insurance Claim Form - Click Here
• Disability Insurance Claim Form - Click Here
• Monthly Premium Report and Remittance Advice - Click Here
• Monthly Bank Draft Authorization - Click Here