For your convenience all of the required forms are now online. Each form comes in an easy to read and use pdf format.
The forms maybe completed in one of two ways:
- Print the form and complete by hand, OR;
- Complete the form on your computer, then print and sign.
Send completed forms via interoffice mail, postal service, or in person, to CAPC's benefits staff representative listed in the Contact information of this website. FORMS MAY NOT BE ELECTRONICALLY TRANSMITTED
Life Insurance
Florida Combined Application
To elect new coverage through Florida Combined, print, complete, sign and return the original
Change Form
To make changes to your existing term life policy, complete this form with the appropriate information.
Evidence of Insurability Application
To elect new coverage only if late entrant or over $100,000