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	Service Forms
	To make it easy for you to access the forms you need, we have placed commonly used service forms on this site for you to access at your convenience. These forms are available in Adobe Acrobat PDF format. The PDF forms must be printed out and then completed. They cannot be completed on line. Once you have printed and completed the form, mail or fax the form to our processing center.		CLAIM FORMS Colonial Supplemental Insurance Processing Center P.O. Box 100195 Columbia, SC 29202-3195 FAX: 1-800-880-9325 OTHER FORMS Colonial Supplemental Insurance Processing Center P.O. Box 1365 Columbia, SC 29202-1365 To order forms that aren’t listed here, please call our Service Center at 1-800-325-4368.

Download Forms

	Form Title		Description
	Claim Form		Use this PDF form to submit a claim.
	Beneficiary Designation Form		This PDF form should be used to add or modify the designated beneficiary on a policy.
	Request For Service		Use this PDF form to request changes to personal data, beneficiary, or to exercise policy provisions.
	Service Guide for Policyholders		This helpful flier provides information on finding the most up-to-date claim forms, submitting a claim and selecting optional services on the claim form. The form also provides helpful tips about the claims process, how the policy works and when to contact the service center.



	Colonial Supplemental Insurance products are underwritten by: The Paul Revere Life Insurance Company, Worcester, MA Administrative Office: Colonial Supplemental Insurance Division, 1200 Colonial Life Blvd, Columbia, SC, 29210	Important Legal Notice
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