State Life Insurance Fund Forms

Last Updated: April 11, 2024​​

Forms

​Address Change

Application​

Application Español​

Beneficiary Change

Beneficiary Living Trust Change

Ownership Change

Contingent Ownership Change

Name Change By Marriage or Divorce

Name Change By Court Order​

Electronic Submissions of State Life Insurance Fund Forms

If you wish to submit electronic forms, please use the State of Wisconsin Drop-off portal at: wi​box.wi.gov/dropoff  ​​

Helpful info for the site: 

• From: Your ema​il address,

• To: ocislif@wisconsin.gov (or select “State Life Fund"),

• Subject and Message: Please enter what you wish to note as the subject and message.
  

Address and Email Information:

State Life Insurance Fund
P.O. Box 7873
Madison, WI 53707-7873
(608) 266-0107 or 1-800-562-5558
ocislif@wisconsin.gov (please include your name and email address)