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Click ‘Get Form’ to open the ca great west life document in the editor.
Begin by filling out the Employer/Plan Sponsor Information section. Enter the name of your employer and the policy/plan number accurately.
In the Member Information section, print your last name, first name, initial, home telephone number, and certificate/social insurance number. Ensure all details are correct for processing.
Decide whether you are requesting a withdrawal or transfer. Complete Part A for cash withdrawals or transfers to another plan, providing the amount requested and payment method.
If applicable, complete Part B for transfers under a Quebec Simplified Pension Plan. Specify the total value of eligible funds you wish to transfer.
Sign and date in Part D to authorize Great-West Life to proceed with your request. If necessary, complete Parts E and F for beneficiary consent and employer signature.

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Versions	Form popularity	Fillable & printable
2015	4.8 Satisfied (63 Votes)
2010	4 Satisfied (41 Votes)

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