Contact Form: Individual Life Policy

To contact American Fidelity's Life Division by e-mail please complete the form below. We are committed to your privacy and understand the importance of protecting your personal information. Please see our privacy policy for more information. An asterisk (*) indicates a required field.

Personal Information








Your Workplace Information

If applicable. Please provide your customer number or the last four digits of your social security.
Comments/Concerns/Requests
If you can provide additional information, especially a policy and/or claim number. It helps us address your concern.

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