Administrative Forms

The following forms are available for your convenience. These forms can be printed, completed (including appropriate authorizations) and, unless otherwise noted, submitted to AUL through fax or regular mail.

Fax number:

317-285-1728

 

Mailing address:

American United Life
P.O. Box 6010
Indianapolis, IN 46206-6010

 

Participants requiring assitance completing forms can contact us at 1-800-249-6269. Representaives are available Monday through Friday, between 8 a.m. and 10 p.m. (ET).

Termintating or retireing participants can contact us at 1-800-348-6229, option 1, to review their distribution options. Representative are available Monday through Friday, between 6 a.m and 6 p.m. (ET(

Participants seeking to initiate a rollover or transfer into your plan (if allowed) can contact us at 1-800-249-6269. Representatives are available Monday through Friday, between 8 a.m. and 10 p.m. (ET)

Document NameDownloadEmail
Annuity RequestDownload 
Beneficiary Claim FormDownload 
Distribution AssistanceDownload 
Distribution Request FormDownload 
Distribution Request Form - SpanishDownloadEmail
Installment Request FormDownload 
Loan WorksheetDownload 
Participant Beneficiary DesignationDownload 
Particiapnt Status SheetDownload 
QDRO Transfer/DistributionDownload 
Qualified Joint and Survivor Annuity (QJSA) NoticeDownload 
Required Minimum DistributionDownload 
Sample Qualified Pre-Retirement Survivor Annuity (QPSA) NoticeDownload 
Special Tax Notice Regarding PaymentsDownload 
Statement of AgeDownload 
Transfer of Assets RequestDownload