Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Pacific Life Insurance Company before sending sensitive documents. FaxFlow is not affiliated with this organization.
Pacific Life Insurance Company fax number
(866) 398-0467
Life Insurance Division
Used for: Submitting policyowner forms (e.g., withdrawal requests, policy changes) for life insurance policies.
Fax destination details
- Department
- Life Insurance Division
- Purpose
- Submitting policyowner forms (e.g., withdrawal requests, policy changes) for life insurance policies.
- Form
- Withdrawal Request Form — Withdrawal Request (15-29029-41)
- Address
- P.O. Box 2030, Omaha, NE 68103-2030; Overnight address: Pacific Life Insurance Company, Consumer Markets Division – Life Insurance, 6750 Mercy Rd, Omaha, NE 68106
- Voice phone
- (800) 347-7787
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
This form may be used to request a withdrawal on a life insurance or fixed annuity policy. It requires policyowner (and assignee if applicable) signatures, and includes sections for withdrawal type, amounts, and payout instructions. See the form for specific signing requirements.
Review official form instructionsSources and verification
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