Policyowner

Service Forms


For your convenience, we have provided the most commonly requested forms.

To print and sign, use the fillable form links below.

To submit forms electronically, log in and select "Policy & Billing Changes" under the "Self - Service Policy Management" menu.

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Questions?

Call Customer Service
(844) 276-0193
Monday - Friday
9:00 AM - 8:00 PM Eastern Time
(excluding holidays)
Send completed forms to:

Mailing Address:
Pacific Life Insurance Company
Lynchburg Operations
P.O. Box 2873
Omaha, NE 68103-2873

Overnight Mailing Address:
Pacific Life Insurance Company
Lynchburg Operations
6750 Mercy Road, Suite B
Omaha, NE 68106

Fax: (949) 219-8811

SERVICE FORMS
Access our most commonly requested forms.

For New York issued policies,
please select from these forms.

For PL Promise Product policies,
please select from these forms.

INITIATE A CLAIM
Click here to start the claim process.

MAKE A PAYMENT
Click here to start the payment process.