Withdrawal From Your Policy

Annuity Withdrawal Form

To withdraw funds from your non-qualified Annuity, use this Annuity Withdrawal form.
To withdraw funds from your qualified Annuity use this Annuity Withdrawal form.

Universal Life Withdrawal Form

To withdraw funds from your Universal Life Policy, use this Universal Life Withdrawal form.

Please complete, print, and sign forms. Submit forms via the email, fax number, or mailing address below:

Email:	[email protected]
Fax:	800.395.9238
Mail:	Americo Financial Life and Annuity Insurance Company PO BOX 410288 Kansas City, MO, 64141-0288

Americo is the brand name for insurance products issued by the subsidiary insurance companies controlled by Americo Life, Inc. Products are underwritten by Americo Financial Life and Annuity Insurance Company (AFL) or Great Southern Life Insurance Company (GSL), Kansas City, MO, and may vary in accordance with state laws. Not all policies and benefits are available in every state. AFL is authorized to conduct life insurance business in the District of Columbia and all states except NY, and health insurance business in the District of Columbia and all states except CT, ME, and NY. GSL is authorized to conduct health insurance business in the District of Columbia and all states except NH, NJ, NY, RI, and VT.