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Pacific Life Insurance Company fax number
(469) 788-7137
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Pension Risk Transfer (PRT) – Attorney-in-Fact
Used for: Submit the Affidavit by Attorney In Fact form for Pension Risk Transfer Annuities; include the Power of Attorney and any riders/addendums.
Fax destination details
- Department
- Pension Risk Transfer (PRT) – Attorney-in-Fact
- Purpose
- Submit the Affidavit by Attorney In Fact form for Pension Risk Transfer Annuities; include the Power of Attorney and any riders/addendums.
- Form
- Affidavit – By Attorney In Fact — Affidavit – By Attorney In Fact
- Address
- PO Box 25189, Lehigh Valley, PA 18002-5189; Overnight Deliveries: Pacific Life, 1530 Valley Center Parkway, Bethlehem, PA 18017
- Voice phone
- Toll Free: (833) 702-1617
- Website
- Visit organization website
Before you send
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- Check the organization website or call its main line for the current fax number.
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Use this form to certify and agree to conditions and provide Attorney in Fact and Payee information. The form must be completed by the Attorney-in-Fact under the Power of Attorney and submitted with a full copy of the Power of Attorney and any applicable riders or addendums; any contingency documentation required by the Power of Attorney must also be submitted.
Official form instructions are published as a downloadable file on the organization's website.
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