Instructions: Great-West requires that you mail your claim form along with your receipts. Print the appropriate claim form. Ensure your form is signed and dated. Mail the form and receipts to the Benefit Payment Office listed here, or contact your plan administrator for the correct address Inquiries 1 800 665 0503 Send claim forms to: Great West Life Box 3050, Station Main Winnipeg, Manitoba R3C 4E5

Great West Life Forms

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