This is a document that verifies the compensation provided to beneficiaries upon the policyholder's death. It functions as a financial protection mechanism and may potentially cover various expenses or financial needs.

To use the Upload PDF endpoint for this document, you must use LIFE_INSURANCE_PAYMENT in the form_type parameter.

Field descriptions

The following fields are available on this document type:

JSON Attribute	Data Type	Description
`life_insurance_payment-Part1-General:dateOfPayment1`	Date	Date Of Payment 1
`life_insurance_payment-Part1-General:paymentAmount1`	Money	Payment Amount 1
`life_insurance_payment-Part1-General:paymentMethod1:`	`CASH`, `MONEY ORDER`, `CHECK`, `CREDIT CARD`, `TRANSFER FROM ACCOUNT`, `OTHER`	Payment Method 1
`life_insurance_payment-Part1-General:paymentMethod1:transferFromAccount-Description`	Text	Payment Method 1
`life_insurance_payment-Part1-General:paymentMethod1:checkNumber`	Integer	Payment Method 1
`life_insurance_payment-Part1-General:paymentMethod-Other1:description`	Text	Payment Method - Other 1
`life_insurance_payment-Part1-General:dateOfPayment2`	Date	Date Of Payment 2
`life_insurance_payment-Part1-General:paymentAmount2`	Money	Payment Amount 2
`life_insurance_payment-Part1-General:paymentMethod2:`	`CASH`, `MONEY ORDER`, `CHECK`, `CREDIT CARD`, `TRANSFER FROM ACCOUNT`, `OTHER`	Payment Method 2
`life_insurance_payment-Part1-General:paymentMethod2:transferFromAccount-Description`	Text	Payment Method 2
`life_insurance_payment-Part1-General:paymentMethod2:checkNumber`	Integer	Payment Method 2
`life_insurance_payment-Part1-General:paymentMethod-Other2:description`	Text	Payment Method - Other 2
`life_insurance_payment-Part1-General:dateOfPayment3`	Date	Date Of Payment 3
`life_insurance_payment-Part1-General:paymentAmount3`	Money	Payment Amount 3
`life_insurance_payment-Part1-General:paymentMethod3:`	`CASH`, `MONEY ORDER`, `CHECK`, `CREDIT CARD`, `TRANSFER FROM ACCOUNT`, `OTHER`	Payment Method 3
`life_insurance_payment-Part1-General:paymentMethod3:transferFromAccount-Description`	Text	Payment Method 3
`life_insurance_payment-Part1-General:paymentMethod3:checkNumber`	Integer	Payment Method 3
`life_insurance_payment-Part1-General:paymentMethod-Other3:description`	Text	Payment Method - Other 3
`life_insurance_payment-Part1-General:dateOfPayment4`	Date	Date Of Payment 4
`life_insurance_payment-Part1-General:paymentAmount4`	Money	Payment Amount 4
`life_insurance_payment-Part1-General:paymentMethod4:`	`CASH`, `MONEY ORDER`, `CHECK`, `CREDIT CARD`, `TRANSFER FROM ACCOUNT`, `OTHER`	Payment Method 4
`life_insurance_payment-Part1-General:paymentMethod4:transferFromAccount-Description`	Text	Payment Method 4
`life_insurance_payment-Part1-General:paymentMethod4:checkNumber`	Integer	Payment Method 4
`life_insurance_payment-Part1-General:paymentMethod-Other4:description`	Text	Payment Method - Other 4
`life_insurance_payment-Part1-General:dateOfPayment5`	Date	Date Of Payment 5
`life_insurance_payment-Part1-General:paymentAmount5`	Money	Payment Amount 5
`life_insurance_payment-Part1-General:paymentMethod5:`	`CASH`, `MONEY ORDER`, `CHECK`, `CREDIT CARD`, `TRANSFER FROM ACCOUNT`, `OTHER`	Payment Method 5
`life_insurance_payment-Part1-General:paymentMethod5:transferFromAccount-Description`	Text	Payment Method 5
`life_insurance_payment-Part1-General:paymentMethod5:checkNumber`	Integer	Payment Method 5
`life_insurance_payment-Part1-General:paymentMethod-Other5:description`	Text	Payment Method - Other 5
`life_insurance_payment-Part2-InsuranceCompanyInformation:insuranceCompanyName`	Text	Insurance Company Name
`life_insurance_payment-Part2-InsuranceCompanyInformation:insuranceCompanyAddress:addressLine1`	Text	Insurance Company Address
`life_insurance_payment-Part2-InsuranceCompanyInformation:insuranceCompanyAddress:addressLine2`	Text	Insurance Company Address
`life_insurance_payment-Part2-InsuranceCompanyInformation:insuranceCompanyAddress:city`	Text	Insurance Company Address
`life_insurance_payment-Part2-InsuranceCompanyInformation:insuranceCompanyAddress:state`	State	Insurance Company Address
`life_insurance_payment-Part2-InsuranceCompanyInformation:insuranceCompanyAddress:zip`	ZIP Code	Insurance Company Address
`life_insurance_payment-Part3-PolicyholderInformation:policyholderName`	Text	Policyholder Name
`life_insurance_payment-Part3-PolicyholderInformation:policyholderAddress:addressLine1`	Text	Policyholder Address
`life_insurance_payment-Part3-PolicyholderInformation:policyholderAddress:addressLine2`	Text	Policyholder Address
`life_insurance_payment-Part3-PolicyholderInformation:policyholderAddress:city`	Text	Policyholder Address
`life_insurance_payment-Part3-PolicyholderInformation:policyholderAddress:state`	State	Policyholder Address
`life_insurance_payment-Part3-PolicyholderInformation:policyholderAddress:zip`	ZIP Code	Policyholder Address
`life_insurance_payment-Part4-PolicyInformation:policyNumber`	Text	Policy Number
`life_insurance_payment-Part4-PolicyInformation:policyTerm`	Text	Policy Term
`life_insurance_payment-Part4-PolicyInformation:policyStartDate`	Date	Policy Start Date
`life_insurance_payment-Part4-PolicyInformation:policyMaturityDate`	Date	Policy Maturity Date
`life_insurance_payment-Part4-PolicyInformation:lastPremiumDueDate`	Date	Last Premium Due Date
`life_insurance_payment-Part4-PolicyInformation:nextDueDate`	Date	Next Due Date

Sample document

drive.google.com

API - LIFE INSURANCE PAYMENT.pdf

Sample JSON result

{
  "pk": 39003158,
  "uuid": "80b9189e-86db-4881-9986-7eb730b94260",
  "name": "API - Q2 All Capture forms",
  "created": "2023-09-08T18:29:49Z",
  "created_ts": "2023-09-08T18:29:48Z",
  "verified_pages_count": 89,
  "book_status": "ACTIVE",
  "id": 39003158,
  "forms": [
    {
      "pk": 49666330,
      "uuid": "5e170c06-ad5d-4fc6-b949-d8a60441faf1",
      "uploaded_doc_pk": 59900273,
      "form_type": "LIFE_INSURANCE_PAYMENT",
      "raw_fields": {
        "life_insurance_payment-Part1-General:dateOfPayment1": {
          "value": "12/13/2021",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part1-General:dateOfPayment2": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part1-General:dateOfPayment3": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part1-General:dateOfPayment4": {
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          "is_empty": true,
          "alias_used": null,
          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part1-General:dateOfPayment5": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part1-General:paymentAmount1": {
          "value": "1344.60",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part1-General:paymentAmount2": {
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          "is_empty": true,
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          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part1-General:paymentAmount3": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part1-General:paymentAmount4": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part1-General:paymentAmount5": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part1-General:paymentMethod1:": {
          "value": "CASH",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part1-General:paymentMethod2:": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part1-General:paymentMethod3:": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part1-General:paymentMethod4:": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part1-General:paymentMethod5:": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part4-PolicyInformation:policyTerm": {
          "value": "30 YEARS",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part4-PolicyInformation:nextDueDate": {
          "value": "01/12/2022",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part4-PolicyInformation:policyNumber": {
          "value": "123456789",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part4-PolicyInformation:policyStartDate": {
          "value": "12/15/2020",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part1-General:paymentMethod1:checkNumber": {
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          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part1-General:paymentMethod2:checkNumber": {
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          "alias_used": null,
          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part1-General:paymentMethod3:checkNumber": {
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          "alias_used": null,
          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part1-General:paymentMethod4:checkNumber": {
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          "alias_used": null,
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          "confidence": 1.0
        },
        "life_insurance_payment-Part1-General:paymentMethod5:checkNumber": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part4-PolicyInformation:lastPremiumDueDate": {
          "value": "12/12/2021",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part4-PolicyInformation:policyMaturityDate": {
          "value": "12/15/2050",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part1-General:paymentMethod-Other1:description": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part1-General:paymentMethod-Other2:description": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part1-General:paymentMethod-Other3:description": {
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          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part1-General:paymentMethod-Other4:description": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part1-General:paymentMethod-Other5:description": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part3-PolicyholderInformation:policyholderName": {
          "value": "JOHN SAMPLE",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part3-PolicyholderInformation:policyholderAddress:zip": {
          "value": "12345-6789",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part2-InsuranceCompanyInformation:insuranceCompanyName": {
          "value": "FAKE LIFE INSURANCE COMPANY",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part3-PolicyholderInformation:policyholderAddress:city": {
          "value": "FAKE CITY",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part3-PolicyholderInformation:policyholderAddress:state": {
          "value": "NY",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part1-General:paymentMethod1:transferFromAccount-Description": {
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        "life_insurance_payment-Part1-General:paymentMethod2:transferFromAccount-Description": {
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        "life_insurance_payment-Part1-General:paymentMethod3:transferFromAccount-Description": {
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          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part1-General:paymentMethod4:transferFromAccount-Description": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part1-General:paymentMethod5:transferFromAccount-Description": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part2-InsuranceCompanyInformation:insuranceCompanyAddress:zip": {
          "value": "12345-6789",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part2-InsuranceCompanyInformation:insuranceCompanyAddress:city": {
          "value": "SAMPLE CITY",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part3-PolicyholderInformation:policyholderAddress:addressLine1": {
          "value": "123 SAMPLE AVENUE",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part3-PolicyholderInformation:policyholderAddress:addressLine2": {
          "value": "SUITE 1",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part2-InsuranceCompanyInformation:insuranceCompanyAddress:state": {
          "value": "NY",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part2-InsuranceCompanyInformation:insuranceCompanyAddress:addressLine1": {
          "value": "123 FAKE MEMORIAL STREET",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        },
        "life_insurance_payment-Part2-InsuranceCompanyInformation:insuranceCompanyAddress:addressLine2": {
          "value": "UNIT #12",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "API - LIFE INSURANCE PAYMENT.pdf",
          "confidence": 1.0
        }
      },
      "form_config_pk": 256590,
      "tables": [],
      "attribute_data": null
    }
  ],
  "book_is_complete": true
}