Life Insurance Forms
Online service forms for your convenience
Liberty Life Assurance Company of Boston
Service Center - MS 03B
100 Liberty Way
Dover, NH 03820
Or, you can scan a copy of the completed form and email to:
For information regarding your coverage, beneficiaries, loans or contract credits/dividend options, please contact Policyholder Services at 1-800-451-7065 Monday through Friday, 8:00 a.m. to 6:00 p.m. Eastern Time.
Life insurance and annuities issued by:
Liberty Life Assurance Company of Boston, a Liberty Mutual company
Home office: Boston, Mass. Service center: Dover, N.H.