Please download the following forms, fill them out on your computer, then save them to your computer. Once saved, you can attach the form in an email to firstname.lastname@example.org or print out the form and bring it in, or print out the form and mail it in or fax the form to 320-274-3581.
Notice: The insurance product you have purchased is not a deposit or other obligation of, or guaranteed by Lake Central Bank or its affiliates. The insurance product is not insured by the Federal Deposit Insurance Corporation (FDIC) or any other agency of the United States, Lake Central Bank, or Lake Central Insurance Services, LLC. In the case of an insurance product or annuity that involves an investment risk, there is an investment risk associated with the product, including the possible loss of value.