New Era Life of the Midwest Forms

The Fisher Agency

Danny Fisher, CLU, ChFC
President     1-800-822-1450

Financial Advisors Since 1975

13140 Coit Road, Suite 102  Dallas, TX 75240-5797

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FOR AGENT USE ONLY!

Form Description\Program

Microsoft Word 97 or 2000 

Adobe Acrobat 5.0 or better 

INSTRUCTIONSGet Free Word Viewer(3.8 M)Get Free Acrobat PDF Viewer(5.6M)
To Print Right-Click on Link > Print Target Print from Acrobat Window
To Download  Right-Click on Link > Save Target Right-Click > Save Target

New Era Life of the Midwest (Select this Company on the form header)

Form Description\Program

Microsoft Word 97 or 2000 

Adobe Acrobat 5.0 or better 

Application Form - Secure Choice 3  Front & BackFront & Back  Fillable
Application Form - Secure Choice 5 Front & BackFront & Back  Fillable
Application Form - Accumulator 3Internal Exchanges OnlyInternal Exchanges Only
Application Form - Accumulator 5 Internal Exchanges OnlyInternal Exchanges Only
Suitability Form (Required)1 Page1 Page Fillable
Replacement Form (Required)Front & BackFront & Back
Transfer Form - Non-Qualified & Qualified1 Page1 Page Fillable
Service Form - Distribution RequestFront & BackFront & Back Fillable
Service Form - Policy ServiceFront & BackFront & Back
Service Form - Change of Beneficiary (Secure Choice)1 Page1 Page
Service Form - Change of Beneficiary (Accumulator)1 Page1 Page
Agent's Contracting Forms (for New Era agents)Request By Email (PDF ->)All Pages

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