Forms

To fill out an online form, please choose from the menu below:

Once complete, you may return via email (wrl@niai.com), fax (502-425-3127) or mail to the following:
National Insurance Agency, Inc.
PO Box 306
Simpsonville, KY 40067

Metlife Absolute Assignment Form

Metlife Beneficiary Change Form

Metlife Collateral Assignment Form

Life Insurance Applications (KY, IN, & OH Residents)

Life Insurance Application for Kentucky Attorneys

Life Insurance Application for Kentucky CPAs

Life Insurance Application for Kentucky Dentists

Life Insurance Application for Kentucky Physicians

Disability Insurance Applications (KY Residents Only)

Disability Insurance Application for Kentucky Attorneys (KY residents only)

Disability Insurance Application for Kentucky CPAs (KY residents only)

Disability Insurance Application for Kentucky Dentists (KY residents only)

Disability Insurance Application for Kentucky Physicians (KY residents only)

Disability Insurance Applications (IN Residents Only)

Disability Insurance Application for Kentucky Attorneys (IN residents only)

Disability Insurance Application for Kentucky CPAs (IN residents only)

Disability Insurance Application for Kentucky Dentists (IN residents only)

Disability Insurance Application for Kentucky Physicians (IN residents only)

Disability Insurance Applications (OH Residents Only)

Disability Insurance Application for Kentucky Attorneys (OH residents only)

Disability Insurance Application for Kentucky CPAs (OH residents only)

Disability Insurance Application for Kentucky Dentists (OH residents only)

Disability Insurance Application for Kentucky Physicians (OH residents only)