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Annuity Forms

It is easy to manage your contract.

Find and download the form you need. Print, complete, and sign.  Then mail or fax it to:

Vantis Life
Policy Services Dept.
200 Day Hill Road
Windsor, CT 06095

Fax 860-298-5483

Questions?  Call customer service at 1-866-826-8471 

The forms are in Adobe PDF format.     

Form (Click on the name to download)
10-Day Cancellation Request
Annuity Change Request Form
Claimant's Statement
Direct Deposit Authorization
Request for Duplicate Contract
Required Minimum Distribution Form
Non-Periodic Distribution Request Form
Periodic Distribution Request Form
Premium Deposit/Loan Payment Form
Systematic Distribution Request Form
Tax Free Transfer Request Form
Withholding Notice Information

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© Copyright Vantis Life Insurance Company, Windsor, Connecticut - All Rights Reserved.

Vantis, Vantis Life, and A better life experience are registered trademarks of Vantis Life Insurance Company.

Life insurance and annuities issued by Vantis Life Insurance Company, Windsor, CT (all states except NY) and by Vantis Life Insurance Company of New York, Brewster, NY (NY only). Products not available in all states and state variations may apply.