Life, critical illness and disability insurance
Requesting a withdrawal, policy loan or cancellation of a contract

Simply fill out this short form and our team will be in touch as soon as possible.

How can we assist you?

Important:

Before doing one of the following transactions, get in touch with your advisor so they can explain the impact this may have on your contract.

After talking to them, if you still want to go ahead with the transaction, you must fill out this form on your computer, then print and sign it. You now have two options:

  • Scan it or take a photo, then add it to this request by using Choose a file.
  • Send it by mail to the address indicated on the form.
File formats accepted: .doc, .docx, .pdf, .xls, .xlsx, .txt, .rtf, .jpg, .gif, and .png
Maximum attachment size: 10 MB
This number has 9 or 10 characters.

Your contact details

We’ll use your date of birth to track down your file.