Request to Replace Paneem with Paper Life Certificate


Registration Number - The Registration Number can be found on the letter you received from us *
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The life certificate is only sent to the mailing address or email address the Claims Conference has on file for you.

Please indicate whether you would like to receive the form via mail or email: *

If you need to change your address or want us to use a new email address, please submit a written and signed notification of your new contact details to the office nearest to you ; in your message, please include your request that you would like to receive a paper life certificate to be sent to you.)

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Please note, it may take up to six weeks for the paper life certificate to reach you by mail.