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Get Great West Life Claim Form

ASSURE CARD CLAIM FORM (For Drug Card Claims Only) All claims under this group benefits plan are submitted through the plan member. We may exchange personal information about claims with the plan.

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  5. Put the relevant date and insert your e-autograph after you complete all of the fields.
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  7. Download the filled out template to your computer by hitting Done.
  8. Send the e-document to the parties involved.

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