General Forms

Form

Use this form to...

Notes

Application for Change of Address

Request change of address for certificates and/or payer

Must be signed by the insured and payer/owner

Automated Clearing House (ACH) Authorization

Authorize electronic funds transfer to pay your life premiums, annuity deposits, or mortgage payment to WSA

Include a voided blank check or deposit slip showing your pre-printed routing transit number and bank codes

2025 Board of Directors Election Ballot

Cast your vote for the WSA Board of Directors

Only WSA members over age 18 are eligible to vote. Ballots must be received by June 15, 2025