Follow one of the link below to download the TSGLI claim form.

GL.2005.261, Traumatic Injury Protection Claim Form (fillable)
can be filled in and printed

. The form is in PDF format, readable with Adobe Acrobat Reader version 7.0 and above. You can download the Adobe Reader for free by following this link to the Adobe Website.

You can also obtain this form by

• requesting the form from your service department point of contact, OR
  
  
• contacting the Office of Servicemembers' Group Life Insurance by toll-free phone at 1-800-419-1473 or by email at osgli.claims@prudential.com .