Information Update Forms

Contact Information Update Card

Have you moved? Changed your email address or phone number? If so, use this form, Contact Information Update Card

Change of Beneficiary Card

Have any of the following events occurred that would trigger a change for your beneficiary?

  • New marriage
  • Dissolution of marriage
  • Death of chosen beneficiary
  • Creation of a Living Trust
  • Children that have become of age (18)

Change of Beneficiary Card (Please do not designate minors as your beneficiary.)

Please return your completed form to:

CLEA
Information Update
PO Box 31
Martell, CA 95654