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Western Catholic Union
A Fraternal Life Insurance Society
(217) 223-9721
(800) 223-4928
«
Agent Alert -
»
Western Catholic Union
A Fraternal Life Insurance Society
(217) 223-9721
(800) 223-4928
«
Agent Alert -
»

Forms



DocuSign

September 11, 2015

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Member Forms

January 20, 2014

Agent of Record Change Automatic Annuity Withdrawal (Use to set up reoccuring distributions) Automatic Premium Payment Authorization Beneficiary Change Direct Deposit Authorization Form W-9 Form W4P Form W4R Irrevocable Assignment Form Nursing Home Authorization Form Ownership Change -Life Only Ownership Change -Annuities Only Service Request  (Use for name change, address change, loans, misc.) If you […]



Branch Forms

January 20, 2014

Please select the form you need below and fill out the required information. Branch Annual Financial Statement WCU Officer Roster Branch Calendar Branch Activity Information Form   Catholic High School Scholarship Application Catholic Grade School Grant Application



Lakebrink Award Application

January 15, 2014

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Vocation Scholarship Application

January 15, 2014

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Automatic Premium Payment Plan

January 14, 2014

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ACH Agreement For Direct Deposit

January 14, 2014

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Annual Branch Financial Statement

December 17, 2013

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WCU Officer Roster

December 17, 2013

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Branch Calendar

December 17, 2013

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