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Get Gerber Life Insurance Surrender Form

N the Group Variable Universal Life Insurance program. Sign and date the form and send it to the address above. You may send it by fax to 1-800-AICPAIT. You may call toll free 1-800-223-7473 with any questions, Monday - Friday, 8:30 a.m. - 6:00 p.m., Eastern time. 2 Participant Information First name of participant MI Last name Street Apt. City Group control number State Social Security number ZIP code Daytime telephone number 1 4 2 7 3 Has insurance been assigned? Yes.

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