Start a Claim

We’ve made it easier to start your claim

Losing a loved one is one of life’s most difficult experiences. During this time, GCU is here to provide support and guidance by making the claims process as simple and straightforward as possible. Our team is ready to assist you every step of the way.

 To begin a claim, please complete the short form below.

CLAIM SUBMISSION FORM

CLAIM SUBMISSION FORM

Deceased Information

First Name of Deceased

Last Name of Deceased

Date of Birth - Deceased

Date of Death - Deceased

BENEFICIARY INFORMATION

Beneficiary First Name

Beneficiary Last Name

Beneficiary Phone number

Beneficiary Email

Beneficiary Address

Beneficiary Address Line 2

Beneficiary City

Beneficiary State

Beneficiary ZIP

Relationship to Deceased

Additional Notes or Information