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Get Manulife Termination Form

10 MONTR AL QC H3A 3A2 Please submit this form along with the last contribution for the terminating member. If the employee is a member of more than one plan, complete a separate form for each plan. This form is also available on the Manulife Web site at www.manulife.ca/GRO IF TERMINATION IS DUE TO DEATH ONLY COMPLETE "NOTICE OF DEATH" FORM NUMBER GP0770E Your personal information Plan Sponsor/Employer Group Policy number Member number Customer number Last name First name.

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