IA American Life Insurance Company IA Pacific Company

Client forms

We are pleased to provide our clients and customers access to our most frequently requested administrative and claim forms.

If you hold an IA American policy originally issued by Golden State Mutual, or hold a policy issued by American Health & Life or World Service Life, please select the appropriate form from the list on the right side. 

If you hold a policy from IAP, or one issued by IA American prior to January 1, 2011, you can select the form you need from those listed below on the left side.

Click on the link below for the form you need. You will need Adobe Acrobat Reader to view the PDF forms. If you don’t have Acrobat Reader, download the free software.

Policies originally issued by IAP or IA American

If you need assistance or do not see what you are looking for, please contact us.

Policies originally issued by Golden State Mutual, American Health & Life or World Service Life

If you need assistance or do not see what you are looking for, please contact us.


All rights reserved. © Copyright 2010 IA American Life Insurance Company,
a subsidiary of Industrial Alliance Insurance and Financial Services Inc.