Information Update Forms

Contact Information Update Card

Have you moved? Changed your email address or phone number? If so, use this form, Contact Information Update Card

Contact Information Update Form
Contact Information Update Form

Change of Beneficiary Card

Have any of the following events occurred that would trigger a change for your beneficiary? New marriage, Dissolution of marriage, Death of chosen beneficiary, Creation of a Living Trust, Children that have become of age (18)?

If so, please fill out the Change of Beneficiary Form (Please do not designate minors as your beneficiary.)

Change of Beneficiary Card
Change of Beneficiary Card

Change of Payment Option Form

Need to Change the way you pay? Fill out the form below.

Payment Option Form
Payment Option Form

How To Submit Information Update Forms – 2 More Easy Ways

There are 2 more easy ways to submit your completed information forms:

Traditional Mail - Submit Your Information Update Forms Via Mail (Click Here)

Please mail your completed form to:

CLEA
Information Update
255 Scottsville Blvd.
Jackson, CA 95642

Scan & Upload - Submit your Completed Information Update Forms (Click Here)