Tampa-Administered Forms for Georgia

Forms are separated in three categories:

  • Pre-Sale Forms—Licensing, Master Applications, Statement of Insurability, etc.
  • Post-Sale Forms—Enrollment, Individual Applications, Refusal of Insurance, Reporting Summary etc.
  • Post-Policy Forms—Claim, Change of Beneficiary, Reinstatement, etc.
Pre-Sale Back To Top

.06673131-1005GA Master Application for Critical Illness Insurance Policy
.06673131-1006GA Master Application for Group Accident & Sickness Indemnity Insurance Policy
. AGLC101519GA Application for Life Insurance GA

The above is the only state-specific form. Additional forms can be found on the General Forms page.

Post-Sale Back To Top

. 06673571-1003GA Individual Application for Group Critical Illness Insurance GA
.06673571-1003GA-GCA Individual Application for Group Cancer Indemnity Insurance GA

The above is the only state-specific form. Additional forms can be found on the the General Forms page.

Post-Policy Back To Top

There are no state-specific forms. Use forms located on the General Forms page.