We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Uncategorized Forms
  • Advance Payment Request - Great-west Life

Get Advance Payment Request - Great-west Life

ADVANCE PAYMENT REQUEST EMPLOYER?S STATEMENT Group Policy No.: Certificate No.: Div.: Name of Insured: Address: Street City Province Postal Code Total Basic Life Insurance Coverage: $ The amount available.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the ADVANCE PAYMENT REQUEST - Great-West Life online

This guide provides step-by-step instructions for completing the ADVANCE PAYMENT REQUEST form for Great-West Life. By following these instructions, you will ensure that all necessary information is accurately submitted for your advance payment request.

Follow the steps to complete the form online.

  1. Press the ‘Get Form’ button to access the ADVANCE PAYMENT REQUEST form and open it in your document editor.
  2. Begin by filling in the employer's statement. Input the group policy number and certificate number in the designated fields.
  3. For the insured's section, provide the name of the insured and their address, ensuring that the street, city, province, and postal code are clearly detailed.
  4. Enter the total basic life insurance coverage amount. Remember that the amount available will be equal to 50% of this amount or $50,000, whichever is less.
  5. Record the date of employment and the date last worked, along with the salary or wages as of the date last worked.
  6. Indicate the reason for leaving and the occupation of the insured.
  7. Include the date and your signature along with your official title, as authorization for the release of an advance payment of basic life insurance proceeds.
  8. Review your completed form for accuracy and completeness.
  9. Finally, save changes, and choose to download, print, or share the completed form according to your needs.

Complete the ADVANCE PAYMENT REQUEST online today to ensure a smooth process.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

485BPOS - SEC.gov
Great-West Life & Annuity Insurance Company ... The Contract contains a GLWB that will pay...
Learn more
Under ERISA Section 502(a) - USF Scholarship...
Health Plans et al. at 7, Great-West Life & Annuity Ins. Co. v. Knudson ... bring a...
Learn more
Life insurance - Wikipedia
Life insurance is a contract between an insurance policy holder and an insurer or assurer...
Learn more

Related links form

AT&T Missouri Missouri Application For The Lifeline Or ... - Mercy Lease Application (pdf Format) - The Rawhide Company Employment Application (562K PDF) Danvers Printable Application Form

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

Through a series of mergers, Great-West Life, London Life, and Canada Life became one company in 2020. The name of this newly formed company is Canada Life Assurance Company; they now service any policies once owned through Great-West Life. To contact Canada Life (formerly Great-West Life), please call 1-888-252-1847.

On Jan. 1, 2020 The Great-West Life Assurance Company, London Life Insurance Company, The Canada Life Assurance Company and two holding companies amalgamated. They are now one company – The Canada Life Assurance Company™.

Please contact Great-West Life Customer Service department for all claims enquiries - 1 800 957 9777. Pay Direct Drug Card: The primary plan participant covered under the Extended Health Care plan will be issued a Pay Direct Drug Card.

On January 1, 2020, Great-West Life, London Life and Canada life came together to form one company – The Canada Life Assurance Company.

How long does it take to process my claim? Canada Life will process all health and dental claims under the Plan within 7 calendar days of receipt. Please note: This timeline is intended for standard plans only. Actual timelines might vary based on plan design and claim complexity.

It's an advance of the death benefit from your life insurance policy which you can access if you need an additional source of cash.

The Canada Life Assurance Companyâ„¢, Canada's first life insurance company, began in 1847 in Hamilton, Ontario.

The tagline was later repurposed for the company's sales organization, which was rebranded Freedom 55 Financial in 2000. In 2019, London Life merged with its sister companies, Great-West Life Assurance Company and Canada Life Financial, under the banner of Canada Life.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get ADVANCE PAYMENT REQUEST - Great-West Life
Get form
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232