SERVICES

Policy Questions
For questions pertaining to your GBU Life or Annuity policy, please contact the GBU Home Office at 412.884.5100 / 1.800.765.4428
M-Thurs 8:15am - 4:30pm EST
Friday 8:15am - 12:30pm EST

Service Forms
For policy changes and related services, please print out one of the forms below, complete and mail it to the GBU Home Office. Confirmation of the service provided will be mailed to the policy owner upon completion of the service requested.

All forms listed below are in Adobe PDF format. To download a form for viewing and printing, please click on the desired form.

If you cannot find the form you need, or if you have questions relating to your GBU policy, please contact the GBU Home Office.

	BENEFICIARY CHANGE FORM
	CERTIFICATE OF SURVIVORS FORM
	CHECK-O-MATIC AUTHORIZATION FORM
	DIRECT DEPOSIT AUTHORIZATION FORM
	NOTICE & PROOF OF DEATH AND LOST POLICY FORM
	POLICY OWNER SERVICE REQUEST FORM
	W-4P FORM