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CLAIM FORM PART 1 ? TO BE COMPLETED BY THE PLAN MEMBER LAST NAME PLAN NUMBER 138100 158100 GIVEN Names AND INITIAL 168100 I.D. NO. MAILING ADDRESS CITY PROVINCE POSTAL?CODE TELEPHONE NO. 1. Name of
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How to fill out claim form - Great-West?

01
Obtain the claim form: To begin, you need to obtain the claim form from Great-West. This can usually be done by visiting their website or contacting their customer service.
02
Provide personal information: Fill in your personal information accurately. This typically includes your name, address, contact number, and policy or account number. Make sure to double-check for any spelling errors or missing details.
03
Describe the claim: Next, you should provide a detailed description of the claim. This may involve explaining the incident or event that led to the claim, including dates, locations, and any other relevant information. Be as specific and clear as possible to ensure a smooth claims process.
04
Attach supporting documents: It's essential to attach any necessary supporting documents to the claim form. This can include receipts, invoices, medical records, police reports, or any other evidence that supports your claim. Ensure that all documents are legible and organized.
05
Review and sign the form: Before submitting the claim form, carefully review all the information you have provided. Check for any mistakes, missing details, or inconsistencies. Once satisfied, sign the form as required.

Who needs claim form - Great-West?

01
Policyholders: If you have a policy or account with Great-West and need to file a claim, you will need to fill out the claim form. This applies to individuals who have insurance policies, investment accounts, or other financial products with Great-West.
02
Claimants: In some cases, individuals who are not the policyholders themselves but have a valid claim against a Great-West policy can also fill out a claim form. For example, this could include a beneficiary filing a life insurance claim or a healthcare provider seeking reimbursement for services rendered.
Note: The specific requirements for who needs a claim form from Great-West may vary depending on the type of claim and the specific policy or account in question. It is always best to consult Great-West directly or refer to your policy documents for more accurate information.
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Claim form - great-west is a form used to officially submit a claim to the great-west organization.
Anyone who wishes to submit a claim to great-west is required to file the claim form - great-west.
To fill out the claim form - great-west, you need to provide the required information and follow the instructions provided in the form.
The purpose of claim form - great-west is to provide a standardized format for individuals to submit their claims to great-west.
The claim form - great-west requires individuals to report details such as their personal information, the nature and details of the claim, and any supporting documentation.
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