JOLIET : (800) 435-0089 | BELLEVILLE: (800) 240-2554

Providing Financially Sound Products
to Members & Their Families since 1914

Member Forms

Joliet-Fog-029Automatic Check Plan – Complete this form and mail it in with a voided check to have your premium payments withdrawn automatically from your bank account when they are due.

Change of Beneficiary – Complete and send us this form when you wish to change you beneficiary.

Change of Name – Complete and send us this form when you have a change to your name.

Change of Address – Complete and send us this form when you change your address.

Irrevocable Assignment of Death Benefits – Complete and send us this form when you are assigning your death benefits to a funeral home.

Loss of Policy – Complete and mail us this form if your policy becomes lost or destroyed.

Please print, sign and return your selected form to:
Catholic Holy Family Society
1 Fairlane Drive
Joliet, IL 60435