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Please note that Form 3063 is a state specific form. Due to legal requirements, you must choose the state specific form according to the state law which your policy was issued under. If you are unsure which state law applies to your policy, please contact our Customer Service Center at 1-800-387-2747 or USIWebMail@manulife.com for confirmation. If your state of issue is not listed, please select the generic version (PS3063US). For Manulife New York policies please call customer service at 1-888-267-7781 or visit www.manulifenewyork.com to obtain forms.
For our return address click here.
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| Form # |
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Form Name |
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Form Size(k)
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| PS0002 |
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Agreement Concerning INTERNAL 1035 Rollover/Exchange To |
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73.2
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| PS0011US |
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Acceptance Form |
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64.8 |
| PS1656 |
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Option Selection for Matured Policies/Retirement Benefit Election for Qualified Plans |
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116 |
| PS3063AZ |
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Arizona - Request For Policy Change or Reinstatement |
|
186 |
| PS3063CA |
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California - Request For Policy Change or Reinstatement |
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186 |
| PS3063CO |
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Colorado - Request For Policy Change or Reinstatement |
|
185 |
| PS3063CT |
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Connecticut - Request For Policy Change or Reinstatement |
|
185 |
| PS3063FL |
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Florida - Request For Policy Change or Reinstatement |
|
185 |
| PS3063HI |
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Hawaii - Request For Policy Change or Reinstatement |
|
185 |
| PS3063IA |
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Iowa - Request For Policy Change or Reinstatement |
|
188 |
| PS3063KS |
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Kansas - Request For Policy Change or Reinstatement |
|
185 |
| PS3063KY |
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Kentucky -Request For Policy Change or Reinstatement |
|
185 |
| PS3063LA |
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Louisiana - Request For Policy Change or Reinstatement |
|
188 |
| PS3063MA |
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Massachusetts -Request For Policy Change or Reinstatement |
|
194 |
| PS3063MD |
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Maryland - Request For Policy Change or Reinstatement |
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184 |
| PS3063ME |
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Maine - Request For Policy Change or Reinstatement |
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185 |
| PS3063MN |
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Minnesota - Request For Policy Change or Reinstatement |
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188 |
| PS3063MO |
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Missouri - Request For Policy Change or Reinstatement |
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185 |
| PS3063MS |
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Mississippi - Request For Policy Change or Reinstatement |
|
185 |
| PS3063ND |
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North Dakota - Request For Policy Change or Reinstatement |
|
185 |
| PS3063NJ |
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New Jersey - Request For Policy Change or Reinstatement |
|
185 |
| PS3063NM |
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New Mexico - Request For Policy Change or Reinstatement |
|
185 |
| PS3063OH |
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Ohio - Request For Policy Change or Reinstatement |
|
185 |
| PS3063OK |
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Oklahoma - Request For Policy Change orReinstatement |
|
185 |
| PS3063OR |
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Oregon - Request For Policy Change or Reinstatement |
|
184 |
| PS3063PA |
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Pennsylvania - Request For Policy Change or Reinstatement |
|
185 |
| PS3063SC |
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South Carolina - Request For Policy Change or Reinstatement |
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184 |
| PS3063TN |
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Tennessee - Request For Policy Change or Reinstatement |
|
185 |
| PS3063TX |
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Texas - Request For Policy Change or Reinstatement |
|
185 |
| PS3063US |
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Generic - Request For Policy Change or Reinstatement |
|
185 |
| PS3063UT |
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Utah - Request For Policy Change or Reinstatement |
|
185 |
| PS3063VA |
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Virginia - Request For Policy Change or Reinstatement |
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185 |
| PS3063VT |
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Vermont - Request For Policy Change or Reinstatement |
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185 |
| PS3063WI |
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Wisconsin - Request For Policy Change or Reinstatement |
|
185 |
| PS3063WV |
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West Virginia - Request For Policy Change or Reinstatement |
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185 |
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