ivari

Forms for clients

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All client forms

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TitleForm numberRevisionLink
Activities (Ongoing) QuestionnaireCL21419/22View PDF
Activities QuestionnaireCL2140—View PDF
AffidavitIV1783—View PDF
Allocation FormPS4259/23View PDF
Application to Exercise Purchase Option RiderPC1771—View PDF
Attending Physician’s Statement of Continuing DisabilityCL1676—View PDF
Certificate of IncumbencyIP-LP1572—View PDF
Change of Beneficiary FormPS367—Complete online View PDF
Claimant’s Statement (for Investment Products)CL766—View PDF
Claimant’s Statement (Life Insurance Claim)CL213—View PDF
Collateral AssignmentPS391—View PDF
Compassionate Assistance Program – Attending Physician’s StatementCL1724—View PDF
Confirmation of Compliance by Financial Institution Locked-in Pension FundsIP533—View PDF
Contact Information ChangeIV1527—Complete online View PDF
Contingent OwnerPS373—View PDF
Corporate/Non-Corporate Entity/Trust OwnershipIP-LP1166—View PDF
Critical Illness Attending Physician’s StatementCL1476—View PDF
Critical Illness Claimant’s StatementCL1477—View PDF
CriticalADVANTAGE Claimant’s StatementCL1007—View PDF
Dealer/Nominee Transfer FormIP1186—View PDF
Declaration of tax residency for an entityIP-LP1601—View PDF
Education, Training and Experience QuestionnaireCL2142—View PDF
Electronic Funds Transfer (EFT) for express invoice paymentCL2139—View PDF
Employer’s Statement QuestionnaireCL2143—View PDF
Financial Service FormIP4161/25View PDF
Five for Life Fund Code ChartIP13486/23View PDF
Foreign Death QuestionnaireCL17202/24View PDF
GROWSafe (GS) / GROWSafe2 (GS2) Fund Code ChartIP1372—View PDF
GROWSafe3 (GS3) Fund Code ChartIP653—View PDF
Identity and Third Party DeterminationIP-LP782—View PDF
imaxx Guaranteed Investment Funds Information FolderIP88212/24View PDF
imaxxGIF Fund Code ChartIP884—View PDF
Initial Attending Physician’s StatementCL1008—View PDF
Insured’s Request for Living BenefitsCL1725—View PDF
Insured’s Request for Compassionate Assistance BenefitCL2111—View PDF
Insured’s Statement for Disability and Waiver ClaimCL1009—View PDF
Investment Managers Series (IMS) III Fund Base Guarantee* formIP1292—View PDF
Investment Objectives & Segregated Fund OptionsIP14789/15View PDF
Investor profile questionnaire – WFG advisorsWFG-LP122211/21View PDF
ivari Guaranteed Investment Funds – Fund code chartIP1347—View PDF
Job AnalysisCL1464—View PDF
Limited Power of Attorney – ivari Investment Product ContractsIP177—View PDF
Limited Power of Attorney – Life ProductsLP183—View PDF
NN IP Segregated Funds Products Fund Code ChartIP1373—View PDF
Non-Financial Service Form for Existing Clients OnlyIP426—View PDF
Notice of Cancellation Movable Hypothec without Delivery (Québec)PS2137—View PDF
Notice of Movable Hypothec without Delivery (Québec)PS1462—View PDF
Notice of Transfer of Ownership for Insurance ProductsPS3712/26Complete online View PDF
Overhead Expense Application Supplement DownloadPC1772—View PDF
Physician’s Statement Proof of DeathCL990—View PDF
Plan Type Registration ChangeIP421—View PDF
Policy Change ApplicationLP3866/26View PDF
Policy Ownership for Corporate & Non-Corporate Entities or TrustsIP-LP1747—View PDF
Policy Service ApplicationPS339—Complete online View PDF
Politically Exposed Persons and Head of International OrganizationIP-LP1165—View PDF
Politically Exposed Persons and Head of International Organization for Claims – For beneficiary use onlyCL2110—View PDF
Pre-Authorized Debit (PAD) for Insurance ProductsPS375—Complete online View PDF
Pre-Disability Self Employed ProfileCL1465—View PDF
prosperity term Rate Guide – for WFGWFG-LP129610/23View PDF
prosperity Universal Life Fund Code Chart – WFG advisorsWFG-LP177910/24View PDF
Questions to be Posed when a Spouse Claims as BeneficiaryCL580—View PDF
Reinstatement and non-smoker change application for Guaranteed and Simplified policiesLP1990—View PDF
Release of Collateral AssignmentPS2136—View PDF
Request for Change of Servicing RepresentativeDCC369—View PDF
Request for Registration as a RRSPPS341—View PDF
Residual Income Loss – Current Earnings StatementCL383—View PDF
Residual Income Loss Prior Earnings StatementCL356—View PDF
Segregated Funds Products Fund Code ChartIP1490—View PDF
Statement of Persons Insured under Family Insurance RiderCL578—View PDF
Summary of ivari’s segregated fundsIP13713/20View PDF
Supplementary Statement of DisabilityCL335—View PDF
TermSelect Rate GuideLP471—View PDF
Transfer from a Registered Qualified Policy to an imaxxGIF ContractIP1212—View PDF
Transfer from a Registered Qualified Policy to an ImaxxGIF Contract – Product Comparison ChartIP128112/21View PDF
Transfer of Ownership – Investment productsIP1270—View PDF
Unclaimed Property RequestLP-IP1451—View PDF
Universal Life Fund Code ChartLP946—View PDF
Valid industries and occupationsIP-LP1971—View PDF
Variable Investment Options (VIO) & General Interest Options (GIO) Universal Life Fund Code ChartLP946C—View PDF

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