Forms

You will need to submit forms in order to allow us to perform an array of tasks on your Preneed Funeral or Final Expense insurance policies through Great Western Insurance Company. If a form you need is not listed below, please call (866) 689-1401.

Frequently Used Forms

Preneed Policyholder Service Request

Use this form to update your name, address, and beneficiary or request a duplicate policy.

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Preneed Automatic Premium Withdrawal

Use this form to authorize premium payments through bank draft and update your account.

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Final Expense Absolute Assignment

Use this form to change the ownership of your policy. Do NOT use it to assign benefits to others.

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Final Expense Request for Service

Use this form to update your name, address, and beneficiary or request a duplicate policy.

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Final Expense Beneficiary Designation

Use this form to designate or change the beneficiaries on your policy.

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Final Expense Accelerated Benefit Request

Use this form to request your Accelerated Death Benefit.

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Final Expense Cash Surrender Value Request

Use this form if you'd like to cancel or surrender your policy in exchange for its cash value.

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Final Expense Policy Loan Agreement

Use this form if you would like to request a loan against the value of your policy.

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