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How to send your requests to ivari through our secure online tool

Please send your requests for all types of transactions on inforce policies, including claim requirements, to ivari using the following process:
1

Choose the form you need

Pick your form from the list below and you will be taken straight to it. If you do not see the form you need, search the full library. Note: currently only AB, BC, MB, NB, NL, ON and QC accept eSignatures for the Change of Beneficiary form. Clients in other provinces need to download, print, sign and send the PDF version through this tool.
2

Complete and sign it

Fill in the form in full and sign the document. Files must be sent as PDF, JPEG, JPG, PNG, TIFF or TIF.
3

Upload it securely

Go to our Send Documents tool and follow the instructions to send your files securely to ivari.

What do you want to do?

Select from the list below and you will be taken to the form required. If you do not see what you need here, search the full library further down.

PDF

Cancellation of policy

PDF

Bank account change

PDF

Stop Pre-Authorized Debit (PAD)

PDF

Beneficiary change

PDF

Address change / Contact information update

PDF

Fund transfer

PDF

Withdrawal date change (Pre-authorized debit plan)

PDF

Transfer of Ownership

PDF

Partial withdrawals

PDF

Name change

PDF

Request loan

PDF

Resume Pre-Authorized Debit (PAD)

PDF

Reduce face amount / coverage

PDF

Cancellation of coverage / rider

Use Adobe Reader, not your browser

We recommend that you download or save our PDF forms to your device and use Adobe Reader to complete and save them. By default your device may open PDF files in your web browser, and using a browser to complete form fields can cause unexpected results or loss of entered information. If you do not have Adobe Reader, you can download the latest version for free.

Search for a form

The complete ivari form and guide library. Search by title or form number.
TitleForm numberRevisionLink
“In Good Order” (IGO) Transaction Guidelines – Investment Products Operations Administrative GuideIP59—Download
“In Good Order” (IGO) Transaction Guidelines – Life Operations Administrative GuideLP1352—Download
“In Good Order” (IGO) Transaction Guidelines for WFG – Life Operations Administrative GuideWFG-LP2152—Download
Activities (Ongoing) QuestionnaireCL2141—Download
Activities QuestionnaireCL2140—Download
Advisor Screening QuestionnaireDCC1698—Download
AffidavitIV1783—Download
Alcohol Usage QuestionnaireUW-ALCQ377—Download
Allocation FormPS425—Download
Amendment between ivari and BrokerDCC546—Download
Application to Exercise Purchase Option RiderPC1771—Download
AssignmentDCC853—Download
Attending Physician’s Statement of Continuing DisabilityCL1676—Download
Aviation/Ultralight/Ballooning/Hang Gliding QuestionnaireUW-AVIQ312—Download
Broker’s ContractDCC521—Download
Broker’s Contracting KitDCC1514—Download
Certificate of IncumbencyIP-LP1572—Download
Certificate of Incumbency – Fillable formDCC1137—Download
Change of Beneficiary FormPS367—Download
Claimant’s Statement (for Investment Products)CL766—Download
Claimant’s Statement (Life Insurance Claim)CL213—Download
Code of Ethical Market ConductDCC1388—Download
Collateral AssignmentPS391—Download
Compassionate Assistance Program – Attending Physician’s StatementCL1724—Download
Confidential Business Financial QuestionnaireUW-BFINQ361—Download
Confidential Personal Financial QuestionnaireUW-PFINQ362—Download
Confirmation of Compliance by Financial Institution Locked-in Pension FundsIP533—Download
Contact Information ChangeIV1527—Download
Contingent OwnerPS373—Download
Contract Requirements and/or Transfer RequestDCC358—Download
Conversion ApplicationLP1285—Download
Convert a Registered Retirement Income Fund (RRIF) to a Registered Retirement Savings Plan (RRSP)IP1119—Download
Corporate/Non-Corporate Entity/Trust OwnershipIP-LP1166—Download
Critical Illness Attending Physician’s StatementCL1476—Download
Critical Illness Claimant’s StatementCL1477—Download
CriticalADVANTAGE Claimant’s StatementCL1007—Download
Dealer/Nominee Transfer FormIP1186—Download
Declaration of tax residency for an entityIP-LP1601—Download
Direct Deposit InformationDCC290—Download
Drug usage questionnaireUW-DRUGQ378—Download
Education, Training and Experience QuestionnaireCL2142—Download
Electronic Funds Transfer (EFT) for express invoice paymentCL2139—Download
Employer’s Statement QuestionnaireCL2143—Download
Financial Service FormIP416—Download
Five for Life Fund Code ChartIP1348—Download
Foreign Death QuestionnaireCL1720—Download
Foreign Travel QuestionnaireUW-FTQ399—Download
GROWSafe (GS) / GROWSafe2 (GS2) Fund Code ChartIP1372—Download
GROWSafe3 (GS3) Fund Code ChartIP653—Download
Identity and Third Party DeterminationIP-LP782—Download
imaxx Guaranteed Investment Funds ApplicationIP881—Download
imaxx Guaranteed Investment Funds Information FolderIP882—Download
imaxxGIF Fund Code ChartIP884—Download
Information organizerLP1750—Download
Initial Attending Physician’s StatementCL1008—Download
Insurance ApplicationLP257—Download
Insured’s Request for Living BenefitsCL1725—Download
Insured’s Request for Compassionate Assistance BenefitCL2111—Download
Insured’s Statement for Disability and Waiver ClaimCL1009—Download
Investment Managers Series (IMS) III Fund Base Guarantee* formIP1292—Download
Investment Objectives & Segregated Fund OptionsIP1478—Download
Investor profile questionnaireLP1402—Download
Investor profile questionnaire – WFG advisorsWFG-LP1222—Download
ivari Guaranteed Investment Funds – Fund code chartIP1347—Download
ivari Universal Product OverviewLP1826—Download
ivari’s non face-to-face application guidelinesIV1616—Download
ivari’s non-face-to-face insurance application guidelines – WFG advisorsWFG2012—Download
ivari’s Underwriting Requirements – Life Insurance Products & Critical Illness Protection RidersLP2027—Download
ivari’s Underwriting Requirements Chart for Life Policy ChangesLP1416—Download
Job AnalysisCL1464—Download
Limited Power of Attorney – ivari Investment Product ContractsIP177—Download
Limited Power of Attorney – Life ProductsLP183—Download
Managing Broker’s Contracting KitDCC1515—Download
Market Intermediary AgreementDCC522—Download
Market Intermediary Agreement (MIA) KitDCC1513—Download
Martial Arts & Combat Sports QuestionnaireUW-MARTSQ1880—Download
Medical AuthorizationUW-LP1094—Download
Motor Vehicle Authorization (Alberta)MVR-AB—Download
Motor Vehicle Authorization Form (British Columbia)MVR-BC—Download
Motor Vehicle Authorization Form (Manitoba)MVR-MB—Download
Motor Vehicle Authorization Form (Northwest Territories)MVR-NT—Download
Motor Vehicle Authorization Form (Quebec)MVR-QC—Download
Motor Vehicle Authorization Form (Saskatchewan)MVR-SK—Download
Motor Vehicle Authorization Form (Yukon)MVR-YT—Download
Motor Vehicle Authorization Form & Letter (Nunavut)MVR-NV—Download
Motorized Vehicle QuestionnaireUW-DRIVQ379—Download
Motorized Vehicle Racing QuestionnaireUW-RACEQ401—Download
Mountaineering QuestionnaireUW-MTNQ398—Download
Nervous Disorder QuestionnaireUW-NERVQ346—Download
NN IP Segregated Funds Products Fund Code ChartIP1373—Download
Non-Financial Service Form for Existing Clients OnlyIP426—Download
Notice of Cancellation Movable Hypothec without Delivery (Québec)PS2137—Download
Notice of Movable Hypothec without Delivery (Québec)PS1462—Download
Notice of Transfer of Ownership for Insurance ProductsPS371—Download
Overhead Expense Application Supplement DownloadPC1772—Download
Parachuting/Sky Diving QuestionnaireUW-PARAQ394—Download
Paramedical Examination ReportUW-LP40—Download
Physician’s Statement Proof of DeathCL990—Download
Plan Type Registration ChangeIP421—Download
Policy Change ApplicationLP386—Download
Policy Ownership for Corporate & Non-Corporate Entities or TrustsIP-LP1747—Download
Policy Service ApplicationPS339—Download
Politically Exposed Persons and Head of International OrganizationIP-LP1165—Download
Politically Exposed Persons and Head of International Organization for Claims – For beneficiary use onlyCL2110—Download
Pre-Authorized Debit (PAD) for Insurance ProductsPS375—Download
Pre-Disability Self Employed ProfileCL1465—Download
prosperity Guaranteed Life and prosperity Simplified Life Product GuideWFG2228DownloadDownload
prosperity Universal Life Fund Code Chart – WFG advisorsWFG-LP1779—Download
Questions to be Posed when a Spouse Claims as BeneficiaryCL580—Download
Reinstatement and non-smoker change application for Guaranteed and Simplified policiesLP1990—Download
Release of Collateral AssignmentPS2136—Download
Request for Change of Servicing RepresentativeDCC369—Download
Request for Registration as a RRSPPS341—Download
Residual Income Loss – Current Earnings StatementCL383—Download
Residual Income Loss Prior Earnings StatementCL356—Download
Respiratory (Asthma) QuestionnaireUW-RESPQ347—Download
Scuba Diving QuestionnaireUW-SCUQ395—Download
Segregated Funds Products Fund Code ChartIP1490—Download
Seizure QuestionnaireUW-SEIZQ349—Download
Simply Guaranteed Life and Simplified Life Product GuideLP2227—Download
Single Premium Immediate Annuity (SPIA) ApplicationIP-NB151—Download
Smoking and/or Tobacco QuestionnaireUW-SMOKQ376—Download
Statement of Persons Insured under Family Insurance RiderCL578—Download
Summary of ivari’s segregated fundsIP1371—Download
Supplemental Health Questionnaire for the Insurance ApplicationLP-HS2126—Download
Supplementary Statement of DisabilityCL335—Download
Termination of AssignmentDCC854—Download
TermSelect Rate GuideLP471—Download
Transfer from a Registered Qualified Policy to an imaxxGIF ContractIP1212—Download
Transfer from a Registered Qualified Policy to an imaxxGIF Contract – Electronic KitIP903T—Download
Transfer from a Registered Qualified Policy to an ImaxxGIF Contract – Product Comparison ChartIP1281—Download
Transfer of Ownership – Investment productsIP1270—Download
Unclaimed Property RequestLP-IP1451—Download
Underwriting Height and Weight ChartLP1403—Download
Underwriting requirements chart for Critical Illness policy changesLP1662—Download
Universal Life Fund Code ChartLP946—Download
Valid industries and occupationsIP-LP1971—Download
Variable Investment Options (VIO) & General Interest Options (GIO) Universal Life Fund Code ChartLP946C—Download

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