http://www.laserapp.com/forms.htm

Laser App Software - Forms

PHOENIX LIFE INS CO FORMS


401(a) or (k) Employer Trustee Statement - PT352
403(b) Employer Statement - PT319H
Address Change - OL4016
Annuitant Change - OL4004
Asset Rebalancing Request - OL2855
Authorization to Release Policy Info - OL2698 [NY]
Beneficiary Designation - OL122
Certificate of Deposit (CD) Transfer - OL3042
Certification and Acknowledgement of Trust Agreement - OL4132
Check O Matic Bank Draft Authorization - OL511
Comparison Memorandum - OL1014AR [AR]
Comparison Memorandum - OL1014AZ [AZ]
Definition of Replacement NY - OL2699 [NY]
Designation of Owner-Beneficiary to a Trust - OL4211
Disclosure Statement Annuity to Annuity - OL2702 [NY]
Dollar Cost Averaging Program Disclosure - OL3181 [NY]
Financial Product Disclosure - OL3168CA [CA]
Foundations Variable Annuity App - OL4241 [Generic]
Foundations Variable Annuity App - OL4241AL [AL]
Foundations Variable Annuity App - OL4241AZ [AZ]
Foundations Variable Annuity App - OL4241FL [FL]
Foundations Variable Annuity App - OL4241MA [MA]
Foundations Variable Annuity App - OL4241ME [ME]
Foundations Variable Annuity App - OL4241NV [NV]
Foundations Variable Annuity App - OL4241UT [UT]
Free Look Disclosure and Investment Election - OL4134 [CA]
Freedom Edge Variable Annuity App - OL4160-2 [Generic]
Freedom Edge Variable Annuity App - OL4160FL-2 [FL]
Freedom Edge Variable Annuity App - OL4160MA-2 [MA]
Freedom Edge Variable Annuity App - OL4160ME-2 [ME]
Freedom Edge Variable Annuity App - OL4160NJ-2 [NJ]
Freedom Edge Variable Annuity App - OL4160NY-3 [NY]
Freedom Edge Variable Annuity App - OL4160PA-2 [PA]
Freedom Edge Variable Annuity App - OL4160VT-2 [VT]
Internal Phoenix Annuity to Annuity Replacement - OL3136
Investors Edge Variable Annuity App - OL4158-2 [Generic]
Investors Edge Variable Annuity App - OL41582TEMP [OR]
Investors Edge Variable Annuity App - OL4158FL-2 [FL]
Investors Edge Variable Annuity App - OL4158MA-2 [MA]
Investors Edge Variable Annuity App - OL4158ME-2 [ME]
Investors Edge Variable Annuity App - OL4158NJ-2 [NJ]
Investors Edge Variable Annuity App - OL4158NY-4 [NY]
Investors Edge Variable Annuity App - OL4158PA-2 [PA]
Investors Edge Variable Annuity App - OL4158VT-2 [VT]
Investors Edge Variable Annuity App - OL4158WA-2 [WA]
Limited Power of Attorney - OL2642
Name Change - OL3135
Notice of Confidential Abuse Information - OL3019 [NM]
Notice Regarding Standards for Medical Eligibility - OL4035 [CA]
Optional Investment Programs - OL4061
Optional Investment Programs - OL4061MA5 [MA]
Optional Investment Programs - OL4061NY [NY]
Ownership Change - OL2346
Partial 1035 Exchange Disclosure and Acknowledgement - OL4066
Phoenix Dimensions Variable Annuity App - OL4157-2 [Generic]
Phoenix Dimensions Variable Annuity App - OL4157FL-2 [FL]
Phoenix Dimensions Variable Annuity App - OL4157MA-2 [MA]
Phoenix Dimensions Variable Annuity App - OL4157MD-2 [MD]
Phoenix Dimensions Variable Annuity App - OL4157MD-2 [TX]
Phoenix Dimensions Variable Annuity App - OL4157ME-2 [ME]
Phoenix Dimensions Variable Annuity App - OL4157MN-2 [MN]
Phoenix Dimensions Variable Annuity App - OL4157NJ-2 [NJ]
Phoenix Dimensions Variable Annuity App - OL4157NY-4 [NY]
Phoenix Dimensions Variable Annuity App - OL4157PA-2 [PA]
Phoenix Dimensions Variable Annuity App - OL4157VA-2 [VA]
Phoenix Dimensions Variable Annuity App - OL4157WA-2 [WA]
Premium Edge Variable Annuity App - OL4159-2 [Generic]
Premium Edge Variable Annuity App - OL4159FL-2 [FL]
Premium Edge Variable Annuity App - OL4159MA-2 [MA]
Premium Edge Variable Annuity App - OL4159NJ-2 [NJ]
Premium Edge Variable Annuity App - OL4159PA-2 [PA]
Premium Edge Variable Annuity App - OL4159VT-2 [VT]
Privacy Commitment form - OL4042
Redemption Request - OL1862
Reg 60 Annuity Disclosure Statement - OL2702A [NY]
Replacement Notice - OL1014AL [AL]
Replacement Notice - OL1014CA [CA]
Replacement Notice - OL1014CO [CO]
Replacement Notice - OL1014DE [DE]
Replacement Notice - OL1014GA [GA]
Replacement Notice - OL1014HI [HI]
Replacement Notice - OL1014IA [IA]
Replacement Notice - OL1014ID [ID]
Replacement Notice - OL1014IL [IL]
Replacement Notice - OL1014IN [IN]
Replacement Notice - OL1014KY [KY]
Replacement Notice - OL1014LA [LA]
Replacement Notice - OL1014MA [MA]
Replacement Notice - OL1014MD [MD]
Replacement Notice - OL1014ME [ME]
Replacement Notice - OL1014MI [MI]
Replacement Notice - OL1014MO [MO]
Replacement Notice - OL1014MS [MS]
Replacement Notice - OL1014MT [MT]
Replacement Notice - OL1014NC [NC]
Replacement Notice - OL1014NE [NE]
Replacement Notice - OL1014NH [NH]
Replacement Notice - OL1014NJ [NJ]
Replacement Notice - OL1014NM [NM]
Replacement Notice - OL1014NV [NV]
Replacement Notice - OL1014OH [OH]
Replacement Notice - OL1014OK [OK]
Replacement Notice - OL1014OR [OR]
Replacement Notice - OL1014PA [PA]
Replacement Notice - OL1014RI [RI]
Replacement Notice - OL1014SC [SC]
Replacement Notice - OL1014SD [SD]
Replacement Notice - OL1014TN [TN]
Replacement Notice - OL1014TX [TX]
Replacement Notice - OL1014UT [UT]
Replacement Notice - OL1014VA [VA]
Replacement Notice - OL1014VT [VT]
Replacement Notice - OL1014WA [WA]
Replacement Notice - OL1014WI [WI]
Replacement Notice - OL1014WV [WV]
Replacement Notice - OL1014WY [WY]
Replacement Notice - OL1017 [KS]
Replacement Notice - OL2487 [MN]
Replacement Notice - OL485NY [NY]
Request for Qualified-Non-Qualified Transfer - IRA Rollover - OL2400
Request for Systematic Withdrawals - OL2166
Required Minimum Distribution Election Form - OL4041
Sales Material List - OL3164
Surrender-Withdrawal Request - OL4212
Telephone Transfer Privilege Instructions - OL1416 [NY]
VA Payment Slip - P658A
Variable Annuity Change Authorization - OL1322A
Variable Annuity Cheat Sheet - Customer Service
Variable Annuity Cheat Sheet - New Business
Variable Annuity Premium Allocation - OL4032
Variable Annuity Premium Allocation - OL4032MA6 [MA]
Variable Annuity Premium Allocation - OL4032NY [NY]