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Term Life insurance
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Claim – Total Loss of Autonomy – Long Term Care – Insured's Statement | IND224E
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Contract Change | IND206E
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Medical Authorization | IND177E
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Resolution of the Board of Directors | IND080E
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Change of Beneficiary – Life Insurance | IND078E
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Identification of politically exposed persons | IND075E
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Claim – Claimant's Preliminary Report | Z178
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Application – Life Insurance and Critical Illness | T073
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Application – Simplified Second Chance | T079
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Beneva eSignature Policy
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Confirmation of Insurable Risk | IND153E
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Declaration of Name | IND147E
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Designation or Change of Contingent Beneficiary | IND139E
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Foreign Death - Claimant's Questionnaire
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Claim – Accidental Fracture
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Claim – Death – Claimant’s Statement
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Claim – Death – Physician's Declaration
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Charitable Donation of Life Insurance Policy
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Designation of Subrogated Policyholder
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Questionnaire – Epilepsy | IND134E
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Designation of Two Subrogated Policyholders
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Opinion Request
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Collateral Assignment – Outside Quebec
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Transfer of Coverage
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Policy Assignment
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Verification of an Individual's Identity | IND121E
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Authorization to Disclose Information to the Advisor or to the General Agent | IND058E
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Hypothecation of Rights under an Insurance Contract – Quebec | IND117E
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Cancellation – Surrender | IND108E
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Declarations for Designation or Change of Irrevocable Beneficiary in Nova Scotia | IND051E
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Preferred Rate | IND107E
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Reinstatement | IND106E
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Release from assignment | IND104E
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Preauthorized Debit (PAD) Agreement | IND103E
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Questionnaire – Children's Critical Illness Rider | IND046E
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Questionnaire – Children's Life Insurance Rider | IND045E
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Questionnaire – Declaration of Insurability | IND043E
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Verification of Tax Classification (EATCA AND CRS) – Entity | IND041E
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Changing of Premium Payment Method | IND102E
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Verification of Tax Classification (FATCA AND CRS) – Individual | IND040E
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Questionnaire – Criminal Record | IND022E
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Verification of an Entity's Identity | IND034E
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Questionnaire – Drug or Opiate Use | IND021E
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Questionnaire – Driving Record | IND020E
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Questionnaire – Travel and Residence Abroad | IND032E
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Questionnaire – Intestinal Disorders | IND018E
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Questionnaire – Alcohol Use | IND031E
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Questionnaire – Financial | IND030E
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Questionnaire – Hazardous Sports | IND029E
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Authorization for the Disclosure of a Driving Record by the SAAQ
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Authorization to Disclose Medical Information
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Claim – Medical Authorization | M315 A
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Questionnaire – Scuba Diving | IND028E
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Claim – Disability Income Benefit – Physician's Declaration | M311 A
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Questionnaire – Sky Diving | IND027E
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Claim – Hospitalization due to COVID-19 | IND232E
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Claim – Total disability – Insured's Statement | IND228E
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Claim – Total Loss of Autonomy – Attending Physician's Statement | IND227E
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Questionnaire – Psychological Disorders | IND017E
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Questionnaire – Disabilitiy Income Benefit | IND016E
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Questionnaire – Hang Gliding | IND026E
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Questionnaire – Diabetes | IND015E
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Questionnaire – Racing | IND025E
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Questionnaire – Respiratory Disorders | IND014E
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Questionnaire – Aviation | IND024E
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Questionnaire – Back or Neck Disorders | IND013E
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Questionnaire – Indoor and Outdoor Climbing | IND023E
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Claim – Disability Income Benefit – Payment Instructions | IND009E
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Comparison table Pure and Enhanced series | T1004E
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Family of Products | T085
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Summary Fixed Term Life Exchange | K3007
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Life Insurance Summary | K1001E
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Support Payment Insurance Solution – Brochure | K099
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Children's Insurance Solution – Brochure | K060
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Rent Insurance Solution – Brochure | K058
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Disability Income Benefit Rider – Table | K054
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Loan Insurance Solution – Table | K050
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Loan Insurance Solution – Worksheet | K042
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Loan Insurance Solution – Brochure | K040
Permanent life insurance
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Claim – Total Loss of Autonomy – Long Term Care – Insured's Statement | IND224E
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Contract Change | IND206E
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Medical Authorization | IND177E
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Resolution of the Board of Directors | IND080E
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Change of Beneficiary – Life Insurance | IND078E
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Identification of politically exposed persons | IND075E
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Claim – Claimant's Preliminary Report | Z178
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Application – Life Insurance and Critical Illness | T073
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Application – Simplified Second Chance | T079
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Application – Affirmative | T056
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Beneva eSignature Policy
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Application – Simplified Advantage | T032
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Confirmation of Insurable Risk | IND153E
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Declaration of Name | IND147E
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Designation or Change of Contingent Beneficiary | IND139E
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Foreign Death - Claimant's Questionnaire
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Claim – Accidental Fracture
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Claim – Death – Claimant’s Statement
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Claim – Death – Physician's Declaration
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Charitable Donation of Life Insurance Policy
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Designation of Subrogated Policyholder
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Questionnaire – Epilepsy | IND134E
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Designation of Two Subrogated Policyholders
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Opinion Request
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Collateral Assignment – Outside Quebec
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Transfer of Coverage
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Policy Assignment
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Verification of an Individual's Identity | IND121E
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Authorization to Disclose Information to the Advisor or to the General Agent | IND058E
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Hypothecation of Rights under an Insurance Contract – Quebec | IND117E
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Cancellation – Surrender | IND108E
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Declarations for Designation or Change of Irrevocable Beneficiary in Nova Scotia | IND051E
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Preferred Rate | IND107E
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Reinstatement | IND106E
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Release from assignment | IND104E
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Preauthorized Debit (PAD) Agreement | IND103E
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Questionnaire – Children's Critical Illness Rider | IND046E
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Questionnaire – Children's Life Insurance Rider | IND045E
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Questionnaire – Declaration of Insurability | IND043E
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Verification of Tax Classification (EATCA AND CRS) – Entity | IND041E
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Changing of Premium Payment Method | IND102E
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Verification of Tax Classification (FATCA AND CRS) – Individual | IND040E
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Questionnaire – Criminal Record | IND022E
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Verification of an Entity's Identity | IND034E
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Questionnaire – Drug or Opiate Use | IND021E
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Questionnaire – Driving Record | IND020E
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Questionnaire – Travel and Residence Abroad | IND032E
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Questionnaire – Intestinal Disorders | IND018E
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Questionnaire – Alcohol Use | IND031E
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Questionnaire – Financial | IND030E
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Questionnaire – Hazardous Sports | IND029E
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Authorization for the Disclosure of a Driving Record by the SAAQ
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Authorization to Disclose Medical Information
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Claim – Medical Authorization | M315 A
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Questionnaire – Scuba Diving | IND028E
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Claim – Disability Income Benefit – Physician's Declaration | M311 A
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Questionnaire – Sky Diving | IND027E
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Claim – Hospitalization due to COVID-19 | IND232E
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Claim – Total disability – Insured's Statement | IND228E
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Claim – Total Loss of Autonomy – Attending Physician's Statement | IND227E
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Questionnaire – Psychological Disorders | IND017E
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Questionnaire – Disabilitiy Income Benefit | IND016E
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Questionnaire – Hang Gliding | IND026E
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Questionnaire – Diabetes | IND015E
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Questionnaire – Racing | IND025E
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Questionnaire – Respiratory Disorders | IND014E
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Questionnaire – Aviation | IND024E
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Questionnaire – Back or Neck Disorders | IND013E
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Questionnaire – Indoor and Outdoor Climbing | IND023E
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Claim – Disability Income Benefit – Payment Instructions | IND009E
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Life Saver – Investment Instructions | IND003E
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Life Saver – Additional Contribution| IND002E
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Life Saver – Annual Premium Adjustment | IND001E
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Comparison table Pure and Enhanced series | T1004E
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Family of Products | T085
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Life Insurance Summary | K1001E
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Support Payment Insurance Solution – Brochure | K099
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Simplified Advantage – Brochure | K079
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Children's Insurance Solution – Brochure | K060
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Rent Insurance Solution – Brochure | K058
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Disability Income Benefit Rider – Table | K054
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Loan Insurance Solution – Table | K050
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Loan Insurance Solution – Worksheet | K042
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Loan Insurance Solution – Brochure | K040
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Affirmative – Brochure | K014
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Enhanced T100 – Brochure | K002
Critical illness insurance
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Claim – Critical Illness – Attending Physician's Statement – Kidney Failure | IND223E
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Claim – Critical Illness – Attending Physician's Statement - Coma | IND221E
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Critical Illness - Attending Physician's Statement – Coronary bypass surgery - Myocardial inEarction | IND220E
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Claim – Critical Illness – Insured's Statement | IND218E
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Claim – Critical Illness – Attending Physician's Statement | IND217E
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Contract Change | IND206E
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Medical Authorization | IND177E
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Identification of politically exposed persons | IND075E
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Application – Life Insurance and Critical Illness | T073
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Application – Simplified Second Chance | T079
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Beneva eSignature Policy
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Declaration of Name | IND147E
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Foreign Death - Claimant's Questionnaire
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Claim – Accidental Fracture
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Claim – Death – Claimant’s Statement
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Claim – Death – Physician's Declaration
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Designation of Subrogated Policyholder
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Questionnaire – Epilepsy | IND134E
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Designation of Two Subrogated Policyholders
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Opinion Request
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Collateral Assignment – Outside Quebec
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Change of Beneficiary – Critical Illness | IND069E
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Transfer of Coverage
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Policy Assignment
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Verification of an Individual's Identity | IND121E
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Authorization to Disclose Information to the Advisor or to the General Agent | IND058E
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Hypothecation of Rights under an Insurance Contract – Quebec | IND117E
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Cancellation – Surrender | IND108E
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Preferred Rate | IND107E
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Reinstatement | IND106E
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Preauthorized Debit (PAD) Agreement | IND103E
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Questionnaire – Children's Critical Illness Rider | IND046E
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Questionnaire – Declaration of Insurability | IND043E
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Changing of Premium Payment Method | IND102E
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Verification of Tax Classification (FATCA AND CRS) – Individual | IND040E
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Questionnaire – Criminal Record | IND022E
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Verification of an Entity's Identity | IND034E
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Questionnaire – Drug or Opiate Use | IND021E
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Questionnaire – Driving Record | IND020E
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Questionnaire – Travel and Residence Abroad | IND032E
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Questionnaire – Intestinal Disorders | IND018E
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Questionnaire – Alcohol Use | IND031E
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Questionnaire – Hazardous Sports | IND029E
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Authorization for the Disclosure of a Driving Record by the SAAQ
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Authorization to Disclose Medical Information
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Claim – Medical Authorization | M315 A
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Questionnaire – Scuba Diving | IND028E
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Questionnaire – Sky Diving | IND027E
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Claim – Hospitalization due to COVID-19 | IND232E
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Questionnaire – Psychological Disorders | IND017E
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Questionnaire – Disabilitiy Income Benefit | IND016E
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Questionnaire – Hang Gliding | IND026E
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Questionnaire – Diabetes | IND015E
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Questionnaire – Racing | IND025E
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Questionnaire – Respiratory Disorders | IND014E
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Questionnaire – Aviation | IND024E
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Questionnaire – Back or Neck Disorders | IND013E
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Questionnaire – Indoor and Outdoor Climbing | IND023E
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Critical Illness Insurance - Protect every precious moment | Editable Admat
Disability insurance
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Medical Authorization | IND178E
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Cancellation | ZSA-4020
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Claim form | ZSA-3455
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Claimant's Preliminary Report – Safe Driver| Z178
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Beneva eSignature Policy
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Questionnaire – Employment and Income | IND175E
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Confirmation of Insurable Risk | IND153E
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Reinstatement | IND137E
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Authorization to Disclose Information to the Advisor or to the General Agent | IND058E
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Declarations for Designation or Change of Irrevocable Beneficiary in Nova Scotia | IND051E
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Verification of Tax Classification (EATCA AND CRS) – Entity | IND041E
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Modification – Pillar series | IND038E
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Verification of an Entity's Identity | IND034E
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Questionnaire – Drug or Opiate Use | IND021E
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Questionnaire – Driving Record | IND020E
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Questionnaire – Travel and Residence Abroad | IND032E
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Questionnaire – Intestinal Disorders | IND018E
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Questionnaire – Alcohol Use | IND031E
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Questionnaire – Financial | IND030E
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Questionnaire – Hazardous Sports | IND029E
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Authorization for the Disclosure of a Driving Record by the SAAQ
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Authorization to Disclose Medical Information
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Questionnaire – Scuba Diving | IND028E
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Questionnaire – Sky Diving | IND027E
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Questionnaire – Psychological Disorders | IND017E
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Questionnaire – Disabilitiy Income Benefit | IND016E
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Questionnaire – Hang Gliding | IND026E
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Questionnaire – Diabetes | IND015E
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Questionnaire – Racing | IND025E
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Questionnaire – Respiratory Disorders | IND014E
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Questionnaire – Aviation | IND024E
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Questionnaire – Back or Neck Disorders | IND013E
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Questionnaire – Indoor and Outdoor Climbing | IND023E
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Request to Exercise the Future Insurability Option | IND010E
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Accident and Sickness Declarations of Insurability | IND007E
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Accident Only Declarations of Insurability | IND006E
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Application – Safe Driver | F3003
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Application – Income Protection – Pillar Series | F002
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Personal Needs Analysis for Accident and Sickness Insurance (Calculator) | IND143E
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Protect yourself from the unexpected - Pillar Series
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Family of Products | T085
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Simplified Accident Insurance – At a glance | F1002
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Simplified Accident Insurance – Client Brochure | F045
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Simplified Accident Insurance, brochure – Application | F043
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Income Protection – Client brochure | F038
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Disability – Brochure | F032
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Disability – At a glance | F030
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Safe Driver – Brochure | F028
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Safe Driver – At a glance | F026
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Hospital Care – Brochure | F024
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Hospital Care – At a glance | F022
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Income Protection – Brochure | F020
Savings and investments
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Spousal consent to a transfer to a Life Income Fund (LIF) – Ontario | IND205E
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Direct Transfer Between Institutions | IND2033E-T2033
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Letter of Indemnity | IND180E
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Application-Instructions – Non-registered plan, RSP, RIF, LIRA (QC), LIF, Annuity, DLA, DLA-LIRA – QC | T097
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Application-Intructions – TFSA | T087
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Locked-in Funds Transfer Agreement | IND090E
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Change Regarding Contribution Spouse | IND089E
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Authorization to transfer non-registered fund | IND086E
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Identification of politically exposed persons | IND075E
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Change or Termination of the Preauthorized Debit Agreement | IND073E
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Application-Instructions – Pan-Canadian Registered Plan (LIRA-LIF) | T053
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Limited Authorization Form (LAF) | T036
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Beneva eSignature Policy
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Investment Account Codes | T002W
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Declaration of Name | IND147E
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Request for Cash Withdrawal | IND136E
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Claim – Death – Claimant’s Statement
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Verification of an Individual's Identity | IND121E
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Authorization to Disclose Information to the Advisor or to the General Agent | IND058E
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Simplified Instruction | IND055E
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Change of Beneficiary | IND048E
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Change of Mailing Address and Email Address Form | IND047E
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Verification of Tax Classification (FATCA AND CRS) – Individual | IND040E
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Demande d'instruction simplifiée DPA | IND036F
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Application-Instructions – Non-registered Savings Annuity Companies | K116
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Redemption Fee Remittance Request | K091
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Inter-Account Transfer | K044W
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Assuris – Brochure | T255
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Life Annuity LifeAnew – Table | T095
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Family of Products | T085
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Estate Planning | K3003
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Deferred Life Annuity LifeAnew – Brochure | K062
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Equity Index GIC – Brochure | K097
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Savings Investments Summary | K052
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Saving Products – Table | K046
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Investment Accounts – Table | K022
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Investment Accounts – Guide | K020
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Profile Selector – Table | K018
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Retirement Income – Brochure | K010
Miscellaneous
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Ontario and Atlantic Canada
Toll free: 1 877 526-3211
[email protected]
7150 Derrycrest Drive
Mississauga ON L5W 0E5
Western Canada
Toll free: 1 877 526-3211
[email protected]
7150 Derrycrest Drive
Mississauga ON L5W 0E5