IRS 4506T-EZ Authorization Form
This form is required with all applications by applicants age 18 and older and for face amounts equal to or greater than $3,000,001.
Have questions about the form and why it’s required? Click Here for
Are You Using the Correct HIPAA Form?
Old versions of the HIPAA form will no longer be accepted effective 7/1/2013. Please be sure to go through your files and destroy all stock of old versions of this form. Submitting an old form will delay the processing of your business as we will require you to re-submit the new compliant HIPAA form.
To download the latest version of the form, Click Here.