Neptune-Administered Forms for Florida

The below forms are specific to this state. Non-state specific forms can be located on the General Forms page.

Administration Back To Top

.06670220-1183USLFL Master Application FL

Claims Back To Top
There are no state-specific forms. Use forms located on the General Forms page.
Group Statement of Insurability Back To Top

American General Life Insurance Company of Delaware

.06673571-1005USLFL Statement of Insurability for Group Programs FL

Voluntary Statement of Insurability Back To Top

The United States Life Insurance Company

.00305101-1098USLFL Application for Group Voluntary Programs All Coverages FL

American General Life Insurance Company of Delaware

.06673571-1098USLFL Application for Group Voluntary Programs All Coverages FL
. 06673571-1496USLFL Application for Group Voluntary Programs Life & AD&D Only FL