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Assignment of Insurance Policy
Free assignment of insurance policy template — transfers a policyholder's rights and benefits under an insurance policy to another party.
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This free assignment of insurance policy covers 1. Assignment, 2. Reason for Assignment, 3. Notice to Insurer, 4. No Change to Policy Terms with 3 clearly marked [placeholder] fields to fill in — built for small businesses and individuals documenting a loan or expense putting financial terms in writing so both sides have a clear, shared record. Copy it into your own word processor, fill in the placeholders, and review it — or adapt it — before use. It's part of docstoc's free document template library, alongside business, legal, real estate, finance, and HR templates. Every template here is free to copy with no signup required, and each one carries a plain disclaimer: this is a starting point for informational purposes, not a substitute for advice from a licensed professional in your jurisdiction.
Assignment of Insurance Policy
Assignor (Policyholder): [Name] · Assignee: [Name] Insurance Company: [Name] · Policy Number: [Number] Date: [Date]
1. Assignment
Assignor hereby assigns to Assignee all right, title, and interest in and to the above-referenced insurance policy, including the right to receive any benefits, proceeds, or claim payments due under it.
2. Reason for Assignment
[e.g. "as collateral for a loan," "in connection with the sale of the insured property/business," or "as part of a divorce settlement" — specify.]
3. Notice to Insurer
This assignment is not effective against the Insurance Company until the Insurance Company receives and acknowledges written notice of this assignment, per the policy's terms.
4. No Change to Policy Terms
This assignment does not modify the terms, conditions, or premium obligations of the underlying policy.
Assignor: ______________________ Date: ____________ Assignee: ______________________ Date: ____________
Insurer Acknowledgment (if required): Received and noted by: ______________________ Date: ____________
*This document is provided for informational and educational purposes only and does not constitute legal advice. Most insurance policies require the INSURER's consent or at least formal notice before an assignment is effective — sending this directly to the insurer and getting written acknowledgment is what actually makes the assignment enforceable.*
Edit directly in the box above. Download PDF anytime — the docstoc.io footer is always included and cannot be removed.
What's included
- Edit online — click the document, fill in placeholders, download a PDF
- 4 standard sections: 1. Assignment, 2. Reason for Assignment, 3. Notice to Insurer, 4. No Change to Policy Terms
- 3 clearly marked [placeholder] fields for quick personalizing
- Free to use — no account or signup required
- Fully editable — adjust any clause to match your actual situation
- Includes a signature block, ready to print or sign digitally
- Fixed docstoc.io footer on every PDF (not removable)
Who this template is for
Freelancers & solo founders
Handling routine business paperwork without commissioning custom legal drafting for every document.
Small businesses
Standardizing recurring documents — leases, agreements, notices — across a growing operation.
Anyone reviewing before signing
Using a clear starting structure to understand what a document should cover, even if a lawyer finalizes it.
Informal lending & reimbursements
Money changing hands between people or a business and its team, without a bank's paperwork.
FAQ
Is this assignment of insurance policy template really free?
Yes — this Assignment of Insurance Policy template on docstoc is free to view, edit online, and download as a PDF with no account or signup required.
What does this assignment of insurance policy cover?
This finance template includes 1. Assignment, 2. Reason for Assignment, 3. Notice to Insurer, 4. No Change to Policy Terms. Fill in the [bracketed] placeholders, edit any clause online, then download a PDF — the docstoc.io footer stays on every export.
Is this legal advice?
No. Financial documents like this can touch usury limits, lending disclosure rules, or tax treatment that vary by state and by amount — details a general template can't know. Have an accountant or attorney review the actual terms before money changes hands based on this.
Can I edit the wording?
Yes — edit directly on the page, adjust any section or clause, and re-fill the 3 placeholder fields to match your situation before downloading a PDF. It's a starting structure, not a rigid script.
Where can I find more free templates like this?
Browse more free finance and related document templates in the docstoc library at /document-templates/.
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