Contingent Owner Designation Form

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This is the Contingent Owner Designation Form. Please complete the form and submit.

Contingent Owner Designation Form

Before completing this form, please know:

  • Contingent ownership will be effective only if the new owner is a natural person (not a corporation, partnership or a trust), and the owner, or all designated owners, predecease the Insured. A contingent owner may not be designated on any annuity policy.


Using a blue or black ink pen

Submit in 1 of 3 Ways

Email: [email protected]

Fax: 1 (800) 946-1295

or Mail:
Pacific Guardian Life
Attn: Client Relations Department
1440 Kapiolani Blvd.,
Suite 1700
Honolulu, HI 96814