Start a Claim

Notification of Death Form

Complete the below form to notify us of the death, or call us at 800.231.0801.

Your Information


Insured Information (Deceased)

Full Name(Required)
Birth Date(Required)
If multiple, please provide all policy numbers, separated by commas.
Type of Policy
Date of Death(Required)
Did Death Occur in the U.S.?(Required)
Example: Beneficiary contact information, special instructions, or that there will be funeral home assignment
Claim Forms(Required)
Please indicate how you would like to receive your claim forms. If you select Mail me forms, the claims packet will be mailed to you via first class mail. Note that mailing times vary and you should allow up to 2 weeks for delivery. Choosing to download from will expedite the claims process, allowing the beneficiary to receive their funds sooner.

**By selecting this option, you opt to download your claim forms directly from Americo will not send any claim forms to you unless you contact us directly at our address, email, or phone number.

This field is for validation purposes and should be left unchanged.