Final Expense Questionnaire | State Insurance

Qualifying for burial insurance requires underwriting your health, medications and financial situation.

Completing this form will:

1) Pre-qualify you for the best burial insurance options available for your unique risk. There is never a physical exam to qualify.
2) Reduce the time needed in determining the best plans you can qualify for.


Please be as open and honest in your answers as possible to provide the most accurate burial insurance rates.

Upon completion, weʼll be in touch with our findings.