1. Use this form to automatically deposit funds into a specific financial institution.
2. Print the form, complete and sign it.
3. Fax your completed form to 800-754-6370 OR
Mail to: Farm Bureau Life,
PO Box 9168 , Des Moines , IA 50306
4. Your form will be processed upon receipt. We will contact you if additional information is needed.
Note: Please do not save blank copies of these forms as they are periodically updated. Always return to the Web site to get the most current version.
If you have any questions call 800-247-4170, Monday – Friday 8:00 am – 4:30 pm CST .