Laser App
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Laser App Software - Forms

ING LIFE FORMS


Accelerated Benefit Rider Disclosure - 154740 [Generic]
Accelerated Death Benefit Rider Disclosure - 145765 [Generic]
Accelerated Death Benefit Rider Disclosure - 145766 [CT]
Accelerated Death Benefit Rider Disclosure - 145768 [MD]
Accelerated Death Benefit Rider Disclosure - 145769 [MN]
Accelerated Death Benefit Rider Disclosure - 145773 [MS]
Accelerated Death Benefit Rider Disclosure - 145774 [NJ]
Accelerated Death Benefit Rider Disclosure - 145775 [PA]
Accelerated Death Benefit Rider Disclosure - 145776 [TX]
Accelerated Death Benefit Rider Disclosure - 145777 [WA]
Accelerated-Living Benefit Rider Disclosure - 135672 [WA]
Accelerated-Living Benefit Rider Disclosure - 141216 [Generic]
Accelerated-Living Benefit Rider Disclosure - 141218 [FL]
Accelerated-Living Benefit Rider Disclosure - 141220 [IL]
Accelerated-Living Benefit Rider Disclosure - 141224 [MA]
Accelerated-Living Benefit Rider Disclosure - 141226 [MI]
Accelerated-Living Benefit Rider Disclosure - 141228 [TX]
Accelerated-Living Benefit Rider Disclosure - 141230 [PA]
Accelerated-Living Benefit Rider Disclosure - 141897 [AL]
Acknowledgement in Lieu of Illustration - 127588 [NY]
Age 71 and Older Questionnaire - 146716
All Companies Except Reliastar New York - Common 1035 Exchange - 128204 [Generic]
All Companies Except Reliastar New York - Common Telephone Auth - 127844 [Generic]
Assembly Bill 2107 Disclosure - 127663 [CA]
Childrens Insurance Rider Application (Term) - 127845 [Generic]
Childrens Insurance Rider Application (Term) - 127846 [FL]
Childrens Insurance Rider Application (Term) - 127848 [VA]
Childrens Insurance Rider Application (Term) - 127849 [WI]
Childrens Insurance Rider Application (Term) - 127852 [PA]
Childrens Insurance Rider Application (Term) - 134622 [IN]
Childrens Insurance Rider Application (Term) - 134623 [ME]
Childrens Insurance Rider Application (Term) - 134624 [MN]
Childrens Insurance Rider Application (Term) - 134625 [NM]
Childrens Insurance Rider Application (Term) - 135328 [AZ]
Childrens Insurance Rider Application (Term) - 135398 [CT]
Childrens Insurance Rider Application (Term) - 135611 [VT]
Childrens Insurance Rider Application (Term) - 137526 [MA]
Childrens Insurance Rider Application (Term) - 140593 [WA]
Childrens Insurance Rider Application (Term) - 153219 [MD]
Childrens Insurance Rider Application (Universal) - 153778 [Generic]
Childrens Insurance Rider Application (Universal) - 153796 [Multi-state]
Childrens Insurance Rider Application (Universal) - 153802 [CT]
Childrens Insurance Rider Application (Universal) - 153803 [FL]
Childrens Insurance Rider Application (Universal) - 154031 [DC]
Childrens Insurance Rider Application (Universal) - 154050 [MO]
Childrens Insurance Rider Application (Universal) - 154095 [AZ]
Childrens Insurance Rider Application (Universal) - 154306 [NJ]
Childrens Insurance Rider Application - 130912 [NY]
Childrens Insurance Rider Application - 134621 [CA]
CHIRA Acknowledgement and Disclosure - 150622
Common - Replacement Notice - 127792 - [Generic]
Common - Replacement Notice - 128344 [IL]
Common - Replacement Notice - 128345 [IL]
Common - Replacement Notice - 154425 - [AR]
Common HIPAA Notice - 128274 [Generic]
Common HIPAA Notice - 131722 [CA]
Common Life Application - 133352 [PR]
Common Life Application - 135400 [GU]
Common Life Application - 136365 [NY]
Common Life Application - 136428 [CA]
Common Life Application - 153756 [Generic]
Common Life Application - 153757 [AZ]
Common Life Application - 153759 [CT]
Common Life Application - 153760 [DC]
Common Life Application - 153761 [FL]
Common Life Application - 153762 [IL]
Common Life Application - 153763 [NJ]
Common Life Application - 153764 [NV]
Common Life Application - 153765 [OR]
Common Life Application - 153793 [Multi-state]
Common Medical Exam - Application Part II (Term) - 127882 [ME]
Common Medical Exam - Application Part II (Term) - 127884 [WI]
Common Medical Exam - Application Part II (Term) - 127885 [FL]
Common Medical Exam - Application Part II (Term) - 127886 [Generic]
Common Medical Exam - Application Part II (Term) - 130953 [NY]
Common Medical Exam - Application Part II (Term) - 134617 [CA]
Common Medical Exam - Application Part II (Term) - 134618 [IN]
Common Medical Exam - Application Part II (Term) - 134619 [PA]
Common Medical Exam - Application Part II (Term) - 134620 [MN]
Common Medical Exam - Application Part II (Term) - 135399 [CT]
Common Medical Exam - Application Part II (Term) - 135455 [VA]
Common Medical Exam - Application Part II (Term) - 135616 [OR]
Common Medical Exam - Application Part II (Term) - 139053 [VT]
Common Medical Exam - Application Part II (Term) - 140594 [WA]
Common Medical Exam - Application Part II (Universal) - 153768 [Generic]
Common Medical Exam - Application Part II (Universal) - 153795 [Multi-state]
Common Medical Exam - Application Part II (Universal) - 153798 [CT]
Common Medical Exam - Application Part II (Universal) - 153800 [OR]
Common Medical Exam - Application Part II (Universal) - 154030 [DC]
Common Medical Exam - Application Part II (Universal) - 154094 [AZ]
Common Medical Exam - Application Part II (Universal) - 154305 [NJ]
Common Medical Exam - Application Part II (Universal) -153799 [FL]
Common Medical Exam - Application Part II - 134550 [PR]
Common New Business Policy Backdating Disclosure - 135201
Comparative Information Statement - 136002 [FL]
Credit Card Payment Authorization - 152529
Credit Card Payment Authorization and Electronic Funds Transfer - 139707
Delegation of Authority - 154828
Electronic Signature Procedures and Security Measures - 130928 [MA]
External Replacement Notice - 135118 [KS]
External Replacement Notice - 135979 [PA]
External Replacement Notice - 135980 [PA]
External Replacement Notice for Fixed Products - 135811 [FL]
Financial Supplement to Application (Term) - 143606 [LA]
Financial Supplement to Application (Term) - 147724 [Generic]
Financial Supplement to Application (Term) - 148086 [ME]
Financial Supplement to Application (Term) - 148538 [FL]
Financial Supplement to Application (Term) - 148562 [PA]
Financial Supplement to Application (Universal) - 147724 [CA-GU]
Financial Supplement to Application - 150050 [PR]
Formal New Business Transmittal Checklist - 120598 [Generic]
Guaranteed Benefit Policy Acknowledgement - 142026
Important Notice about Individual Life Insurance Policy - 152089 [ME]
Individual Term Life Insurance Life Application - 154213 [Generic]
Individual Term Life Insurance Life Application - 154214 [Multi-state]
Individual Term Life Insurance Life Application - 154217 [AZ]
Individual Term Life Insurance Life Application - 154218 [DC]
Individual Term Life Insurance Life Application - 154219 [FL]
Individual Term Life Insurance Life Application - 154221 [NV]
Individual Term Life Insurance Life Application - 154222 [NY]
Individual Term Life Insurance Life Application - 154223 [OR]
ING Indexed SAUL Election Worksheet - 140532
ING Indexed Universal Life - CV Disclosure Supplement to Application - 151734 [Generic]
ING Indexed Universal Life - CV Disclosure Supplement to Application - 152071 [PA]
ING Indexed Universal Life - CV Disclosure Supplement to Application - 152072 [VT]
ING Indexed Universal Life - CV Disclosure Supplement to Application - 152073 [VI]
ING Indexed Universal Life - CV Disclosure Supplement to Application - 152736 [FL]
ING Indexed Universal Life - CV Disclosure Supplement to Application - 152959 [OR]
ING Indexed Universal Life - CV Disclosure Supplement to Application - 153098 [MA]
ING Indexed Universal Life - CV Disclosure Supplement to Application - 153254 [MT]
ING Indexed Universal Life - CV Disclosure Supplement to Application - 153445 [CT]
ING Indexed Universal Life - CV Disclosure Supplement to Application - 153517 [NJ]
ING IUL-Global Disclosre Supplement to Application - 154550 [Generic]
ING IUL-Global Disclosre Supplement to Application - 154666 [VT]
ING IUL-Global Disclosre Supplement to Application - 154667 [VI]
ING IUL-Global Disclosre Supplement to Application - 154679 [OR]
ING ROP Endowment Term Life Insurance - Supplement to Application - 154642 [Multi-state]
ING ROP Endowment Term Life Insurance - Supplement to Application - 154644 [ME]
ING ROP Endowment Term Life Insurance - Supplement to Application - 154677 [FL]
ING ROP Endowment Term Life Insurance - Supplement to Application - 154760 [DC]
Internal Replacement Notice - 135809 [KS]
Internal Replacement Notice - 135810 [FL]
Internal Replacement Notice - 135978 [PA]
Life Insurance Buyers Guide - 124671 [ME]
Life Insurance Buyers Guide - 124672 [IL]
Life Insurance Buyers Guide - 124673 [GA-MA-WA-WI]
Life Insurance Buyers Guide - 124974 [NJ]
Life Insurance Buyers Guide - 125027 [NH]
Life Insurance Buyers Guide - 128708 [NY]
Military Personnel Financial Services Disclosure - 145942
North Carolina Acknowledgment - 136170 [NC]
Notice and Consent for HIV Testing - 110475 [AR]
Notice and Consent for HIV Testing - 110477 [CT]
Notice and Consent for HIV Testing - 110478 [DC]
Notice and Consent for HIV Testing - 110479 [GA]
Notice and Consent for HIV Testing - 110480 [IA]
Notice and Consent for HIV Testing - 110481 [IL]
Notice and Consent for HIV Testing - 110483 [ME]
Notice and Consent for HIV Testing - 110484 [MI]
Notice and Consent for HIV Testing - 110485 [MO]
Notice and Consent for HIV Testing - 110486 [MT]
Notice and Consent for HIV Testing - 110487 [ND]
Notice and Consent for HIV Testing - 110488 [NH]
Notice and Consent for HIV Testing - 110489 [OH]
Notice and Consent for HIV Testing - 110491 [TX]
Notice and Consent for HIV Testing - 110492 [UT]
Notice and Consent for HIV Testing - 110493 [VT]
Notice and Consent for HIV Testing - 110494 [WI]
Notice and Consent for HIV Testing - 110634 [WV]
Notice and Consent for HIV Testing - 110636 [WA]
Notice and Consent for HIV Testing - 110637 [Generic]
Notice and Consent for HIV Testing - 110882 [CA]
Notice and Consent for HIV Testing - 119880 [MT]
Notice and Consent for HIV Testing - 120209 [NY]
Notice and Consent for HIV Testing - 127801 [AZ]
Notice and Consent for HIV Testing - 127807 [MA]
Notice and Consent for HIV Testing - 127815 [OR]
Notice and Consent for HIV Testing - 127855 [FL]
Notice and Consent for HIV Testing - 136094 [CO]
Notice Concerning Policyholders Rights in an Insolvency - 152587 [MN]
Notification and Authorization (NY) - 114665
Out-Of-State Verification Form - 128248 - [Generic]
Release of Waiver of Liability Agent as Fiduciary - 127343
Reliastar New York - Telephone Authorization - 116065 [NY]
Replacement Notice (Comparative Information Statement) - 135812 [FL]
Replacement Notice - 116222 [PR]
Replacement Notice - 135119 [MA]
Replacement Notice - 135120 [MI]
Replacement Notice - 135121 [MN]
Replacement Notice - 135122 [MO]
Replacement Notice - 135124 [OK]
Replacement Notice - 135127 [SD]
Replacement Notice - 135128 [TN]
Replacement Notice - 135132 [WI]
Replacement Notice - 135133 [WY]
Replacement Notice - 146148 [WA]
Replacement Notice - 154958 [AR]
Request for Conversion - 127999
RLNY - Appendix 10A - Disclosure Statement - 113593 [NY]
RLNY - Appendix 10C - Notice Regarding Replacement - 116292 [NY]
RLNY - Appendix 11 - Definition Of Replacement - 113596 [NY]
RLNY - Notice To Insurer Of Proposed Replacement - 113592 [NY]
RLNY - Reg 60 Disclosure Statement Instructions - 112604 [NY]
RLNY Fund Allocation of Premium Payments Supplement - 139199
RLNY Term Application - 136528 [NY]
RLR Fund Allocation of Premium Payments Supplement - 139195
RLR Guaranty Association Notice - 115566 [MN]
RLR Term Application - 136897 [MN]
RLR Term Application - 136898 [AZ]
RLR Term Application - 136899 [FL]
RLR Term Application - 136900 [ME]
RLR Term Application - 136902 [NM]
RLR Term Application - 136903 [PA]
RLR Term Application - 136904 [VA]
RLR Term Application - 136905 [WI]
RLR Term Application - 136906 [VT]
RLR Term Application - 136907 [NC]
RLR Term Application - 137642 [UT]
RLR Term Application - 140587 [WA]
RLR Term Application - 140746 [PR]
RLR Term Application - 142689 [DC]
RLR Term Application - 142690 [KS]
RLR Term Application - 142691 [IN]
RLR Term Application - 147565 [GA]
RLR Term Application - 147566 [NJ]
RLR Term Application - 147567 [NV]
RLR Term Application - 147568 [OR]
RLR Term Application - 153222 [MD]
SLD Fund Allocation of Premium Payments Supplement - 139191
SLD Guaranty Association Notice - 151737 [MN]
SLD M-Financial Fund Allocation of Premium Payments Supplement - 139192
Supplement to Application: Alcohol (Term) - 127832 [Generic]
Supplement to Application: Alcohol (Term) - 127856 [CT]
Supplement to Application: Alcohol (Term) - 127859 [MN]
Supplement to Application: Alcohol (Term) - 127860 [NC]
Supplement to Application: Alcohol (Term) - 128543 [FL]
Supplement to Application: Alcohol (Term) - 140595 [WA]
Supplement to Application: Alcohol (Universal) - 127832 [CA-GU]
Supplement to Application: Alcohol (Universal) - 153769 [Generic]
Supplement to Application: Alcohol (Universal) - 153836 [Multi-state]
Supplement to Application: Alcohol (Universal) - 153845 [CT]
Supplement to Application: Alcohol (Universal) - 154032 [DC]
Supplement to Application: Alcohol (Universal) - 154249 [FL]
Supplement to Application: Alcohol (Universal) - 154309 [NJ]
Supplement to Application: Alcohol - 130889 [NY]
Supplement to Application: Aviation (Term) - 127833 [Generic]
Supplement to Application: Aviation (Term) - 128544 [FL]
Supplement to Application: Aviation (Term) - 140596 [WA]
Supplement to Application: Aviation (Universal) - 127833 [CA-GU]
Supplement to Application: Aviation (Universal) - 153770 [Generic]
Supplement to Application: Aviation (Universal) - 153837 [Multi-state]
Supplement to Application: Aviation (Universal) - 154033 [DC]
Supplement to Application: Aviation (Universal) - 154250 [FL]
Supplement to Application: Aviation (Universal) - 154310 [NJ]
Supplement to Application: Aviation - 130861 [NY]
Supplement to Application: Avocations and Professional Sports (Term) - 127834 [Generic]
Supplement to Application: Avocations and Professional Sports (Term) - 128438 [FL]
Supplement to Application: Avocations and Professional Sports (Term) - 140597 [WA]
Supplement to Application: Avocations and Professional Sports (Universal) - 127834 [CA-GU]
Supplement to Application: Avocations and Professional Sports (Universal) - 153777 [Generic]
Supplement to Application: Avocations and Professional Sports (Universal) - 153844 [Multi-state]
Supplement to Application: Avocations and Professional Sports (Universal) - 154040 [DC]
Supplement to Application: Avocations and Professional Sports (Universal) - 154256 [FL]
Supplement to Application: Avocations and Professional Sports (Universal) - 154317 [NJ]
Supplement to Application: Avocations and Professional Sports - 130851 [NY]
Supplement to Application: Ballooning (Term) - 127836 [Generic]
Supplement to Application: Ballooning (Term) - 128547 [FL]
Supplement to Application: Ballooning (Term) - 140599 [WA]
Supplement to Application: Ballooning (Universal) - 127836 [CA-GU]
Supplement to Application: Drug Usage (Term) - 127835 [Generic]
Supplement to Application: Drug Usage (Term) - 127857 [CT]
Supplement to Application: Drug Usage (Term) - 127858 [MN]
Supplement to Application: Drug Usage (Term) - 128545 [FL]
Supplement to Application: Drug Usage (Term) - 134105 [MD]
Supplement to Application: Drug Usage (Term) - 140598 [WA]
Supplement to Application: Drug Usage (Universal) - 127835 [CA-GU]
Supplement to Application: Drug Usage (Universal) - 153771 [Generic]
Supplement to Application: Drug Usage (Universal) - 153838 [Multi-state]
Supplement to Application: Drug Usage (Universal) - 153847 [CT]
Supplement to Application: Drug Usage (Universal) - 154034 [DC]
Supplement to Application: Drug Usage (Universal) - 154251 [FL]
Supplement to Application: Drug Usage (Universal) - 154311 [NJ]
Supplement to Application: Drug Usage - 130860 [NY]
Supplement to Application: Foreign Travel (Term) - 127837 [Generic]
Supplement to Application: Foreign Travel (Term) - 140600 [WA]
Supplement to Application: Foreign Travel (Universal) - 127837 [CA-GU]
Supplement to Application: Foreign Travel (Universal) - 153772 [Generic]
Supplement to Application: Foreign Travel (Universal) - 153839 [Multi-state]
Supplement to Application: Foreign Travel (Universal) - 153848 [FL]
Supplement to Application: Foreign Travel (Universal) - 154035 [DC]
Supplement to Application: Foreign Travel (Universal) - 154312 [NJ]
Supplement to Application: Foreign Travel - 130862 [NY]
Supplement to Application: Military (Term) - 127838 [Generic]
Supplement to Application: Military (Term) - 128548 [FL]
Supplement to Application: Military (Term) - 140601 [WA]
Supplement to Application: Military (Universal) - 127838 [CA-GU]
Supplement to Application: Military (Universal) - 153773 [Generic]
Supplement to Application: Military (Universal) - 153840 [Multi-state]
Supplement to Application: Military (Universal) - 154036 [DC]
Supplement to Application: Military (Universal) - 154252 [FL]
Supplement to Application: Military (Universal) - 154313 [NJ]
Supplement to Application: Military - 130863 [NY]
Supplement to Application: Motor Sports (Term) - 127839 [Generic]
Supplement to Application: Motor Sports (Term) - 128549 [FL]
Supplement to Application: Motor Sports (Term) - 140602 [WA]
Supplement to Application: Motor Sports (Universal) - 127839 [CA-GU]
Supplement to Application: Motor Sports (Universal) - 153774 [Generic]
Supplement to Application: Motor Sports (Universal) - 153841 [Multi-state]
Supplement to Application: Motor Sports (Universal) - 154037 [DC]
Supplement to Application: Motor Sports (Universal) - 154253 [FL]
Supplement to Application: Motor Sports (Universal) - 154314 [NJ]
Supplement to Application: Motor Sports - 130890 [NY]
Supplement to Application: Powerboat or Motorboat (Term) - 127840 [Generic]
Supplement to Application: Powerboat or Motorboat (Term) - 128550 [FL]
Supplement to Application: Powerboat or Motorboat (Term) - 140603 [WA]
Supplement to Application: Powerboat or Motorboat (Universal) - 127840 [CA-GU]
Supplement to Application: Scuba (Term) - 127841 [Generic]
Supplement to Application: Scuba (Term) - 128551 [FL]
Supplement to Application: Scuba (Term) - 140604 [WA]
Supplement to Application: Scuba (Universal) - 127841 [CA-GU]
Supplement to Application: Scuba (Universal) - 153775 [Generic]
Supplement to Application: Scuba (Universal) - 153842 [Multi-state]
Supplement to Application: Scuba (Universal) - 154038 [DC]
Supplement to Application: Scuba (Universal) - 154254 [FL]
Supplement to Application: Scuba (Universal) - 154315 [NJ]
Supplement to Application: Scuba - 130864 [NY]
Supplement to Application: Tobacco (Term) - 127842 [Generic]
Supplement to Application: Tobacco (Term) - 128552 [FL]
Supplement to Application: Tobacco (Term) - 140605 [WA]
Supplement to Application: Tobacco (Universal) - 127842 [CA-GU]
Supplement to Application: Tobacco (Universal) - 153776 [Generic]
Supplement to Application: Tobacco (Universal) - 153843 [Multi-state]
Supplement to Application: Tobacco (Universal) - 154039 [DC]
Supplement to Application: Tobacco (Universal) - 154255 [FL]
Supplement to Application: Tobacco (Universal) - 154316 [NJ]
Supplement to Application: Tobacco - 130894 [NY]
Supplement to Term Application: Military - 140753 [PR]
Supplement to VUL Application: Military - 134157 [PR]
Surrender Request - 131394 [Generic]
Surrender Request - 155270 [WA]
Surrender Request - 155271 [OR]
Terminal Illness Accelerated Death Benefit Rider Disclosure - 145767 [MA]
Waiver of Specified Premium Rider Disclosure - 152573 [NY]
Welfare Benefit Plans Acknowledgement - 128275
Withdrawal Request/Surrender for ING Rollover - 144325