Click on the form needed, and print out the form.
Fill in the necessary information and send it to us by mail.
Amalgamated Life
Explanation of Basic Forms
(For Administration of Life Insurance Policy)
Notice and Proof of Claim for Disability Benefits
Application for Group Insurance
Enrollment for Life Insurance - No Dependent Coverage
Enrollment for Life Insurance with Dependent Coverage
Request for Application-Safe Harbor Trust (Exclusively for Union Groups)
Change Form - Salary/Class/Division
Change Form - Terminations
Request for Conversion Application
Request for Beneficiary and/or Change of Name
Notice of Death form