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 |