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AVOID HIGHLIGHTING
Important!
Avoid highlighting forms submitted to Pacific Life.
Forms are scanned into an imaging system at Pacific Life and highlighting can obscure written entries and instructions.

The forms listed below can be used for a variety of account-related activities including, redemption, beneficiary changes and maintenance.

Please review each form carefully. Some of the resulting transactions may generate a financial or tax impact on your account. Please consult with your registered representative or tax advisor for assistance in determining the appropriateness of a proposed transaction.

The fillable form icon indicates that the form can be opened, filled-in, and then printed. Fillable forms cannot be saved or emailed with filled in data.

If you have questions about how to complete these forms, please contact our service representatives at (800) 722-2333.

Select the desired form from the list below.

Retirement/IRA AccountsFill-in
Retirement Account Maintenance [M524808A]
Retirement Account Distribution Request [M524407A]
Traditional/SEP-IRA Rollover Certificaton [3024-07A]
Coverdell Education Saving Account (COVERDELL ESA)Fill-in
COVERDELL ESA Account Maintenance [M525107A]
COVERDELL ESA Distribution Request [M524607A]
403(b)(7)Fill-in
Retirement Account Maintenance [M524808A]
Non-Retirement AccountFill-in
Retail Account Maintenance [M524907A]
Retail Account Redemption Request [M524107A]
Other FormsFill-in
Request for Tax ID Number [W-9]
Withholding Certificate for Pension or Annuity Payments [W-4P]
Send additional investments and correspondence


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