Great-West Life & Annuity Insurance Company ||| Individual Variable Universal
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Mail forms to:
Individual VUL Customer Service 9T2
Great-West Life & Annuity Insurance Company
8515 E. Orchard Road
Greenwood Village, CO 80111

   
Form 598 Beneficiary Designation
Form 320 Request for Electronic Funds Transfer
Form 51 Change of Name
Form CL1002 Change of Ownership
Form VL HIPAA Authorization
Form VL3055 Automatic Account Rebalancing
Form VL3064 Dollar Cost Averaging
Form VL3069 Life Policy Surrender Request
Form VL3070 Lost Policy Affidavit
Form VL3081 Policy Loan/Withdrawal/Change Request
Form VL3087 Transfer/Payment Allocation
Form W-9 Request for Taxpayer Identification Number