Complete this form for the Collateral Assignment of Life insurance and Annuity contracts ONLY. If the Collateral Assignment is to be released, the Assignee must complete a collateral release form dated prior to the Absolute Assignment.I have assigned all my rights, title, interests, and incidents of ownership, both present and future, under the above Life Insurance. How to fill out the Assignment of Benefits and Release of Information Form? 1. Read the form instructions and terms carefully. 2. An applicant for a Life Settlement Provider license must submit an Application for a Life Settlement Provider, form LIC 441-19, including an application fee.