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Service Forms

Below is a list of commonly used service forms for policyholders. To view all available forms, visit our Literature search.

General Form Used for All Annuity Products General Form Used for All Annuity Products
  • Annuity Service Form (used for Address Changes, Name Change/Correction, Direct Deposit update, Agent/Broker Removal, Free Look)
Income Annuities Income Annuities
  • Ownership/Beneficiary Change for Income Annuities
Fixed Deferred Annuities Fixed Deferred Annuities
  • Ownership/Beneficiary Change for Deferred Annuities
  • Withdrawal form for Fixed Annuities (also used for Full Surrender)
  • Withdrawal form for Clear Income Annuity (also used for Full Surrender)
Variable Annuities Variable Annuities
  • Ownership/Beneficiary Change for Variable Annuities

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For additional support, please contact the Service Center at 800-762-6212.

To view all available forms, visit the Literature search.

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This material is being provided for informational purposes only, and was not prepared, and is not intended, to address the needs, circumstances and objectives of any of individual or groups of individuals. New York Life, its affiliates, employees and agents are not making a recommendation that any of your particular clients purchase any specific products, and do not provide tax or legal advice.

Annuities are long-term financial products used for retirement purposes. Annuities contain certain fees and charges and there are risks, restrictions, and limitations to consider. Variable annuities are subject to market risk including possible loss of principal. Withdrawals or surrenders may be subject to ordinary income taxes and, if made prior to age 59½, may be subject to a 10% IRS penalty. Guarantees are based on the claims-paying ability of New York Life Insurance and Annuity Corporation (NYLIAC).

Clients should consider the charges, risks, expenses, and investment objectives carefully before purchasing a variable annuity. The product and fund prospectuses contain this and other information and can be obtained from a financial professional. Clients should read the prospectuses carefully before investing or sending money.

New York Life Variable Annuities are issued by New York Life Insurance and Annuity Corporation (“NYLIAC”), a Delaware Corporation. NYLIFE Distributors LLC, Member FINRA/SIPC, is the wholesale distributor and underwriter for these products. Both NYLIAC and NYLIFE Distributors LLC are wholly-owned subsidiaries of New York Life Insurance Company, 51 Madison Avenue, New York, NY 10010. Variable annuities offered through properly licensed registered representatives of a third party registered broker dealer.

Income annuities and deferred annuities are issued by New York Life Insurance and Annuity Corporation (a Delaware Corporation), 51 Madison Avenue, New York, NY 10010.

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