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Life Insurance Forms

If your Great-West life insurance policy was purchased through a brokerage firm, bank or online, please call 800-222-9197 for service forms.

If your Great-West life insurance policy was not purchased through a brokerage firm, bank or online, you may download certain forms below. If you need additional assistance or other forms, please call 800-274-9628.

All documents are in PDF format. To read or print them, you need Adobe Acrobat Reader. If you don't already have it, you can download it free from the Adobe website.

Mail forms to:
Great-West
P.O. Box 85056
Lincoln, NE 68506-5056

Automatic Bank Draft Form
Change of Ownership Form
Client Service Request Form
Designation of Beneficiary Form
Release of Assignment Form
Policy Loan Request Form
Change of Name Form