File a Claim

Lafayette Life contracts experienced professional insurance agents and brokers to assist you in your policy needs, including filing claims. If a relative recently passed away and you require assistance filing an insurance claim, you can begin the process by filing a claim online using the form below or contacting the Lafayette Life Financial Representative assigned to the policy to obtain the necessary forms.

Required Fields*

First Name*

Last Name*

Street Address*

City*

State*

Zip Code*

Email*

Phone Number*

Best Time To Call

Comments / Questions

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.