Contact us about your life insurance

If you have lost or misplaced your insurance policy and/or require a duplicate policy, please complete this form and forward it to our office with the applicable fee.

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Use this form to designate or change your beneficiary. Please ensure that all required signatures are obtained prior to submitting the form; for example, any existing irrevocable beneficiary must sign this form.

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If you would like to pay your premium by pre-authorized monthly debit, please complete this form and return it to our office.

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Complete this form if the insured person’s death occurred while he or she was outside Canada.

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Use this form to change the name of the certificate holder, spouse or beneficiary on Personal Accident Protection certificates.

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If you are making a payment to our office by money order, bank draft or wire transfer, please complete and include this form with your payment. This form may also be required for payments of $100,000 or more.

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Complete this form and provide supporting documentation to record any name changes that apply to a policy owner, insured person or beneficiary.

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If you would like to pay your premium by credit card, please complete this form and return it to our office.

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Use this form to change beneficiary designation for Personal Accident Protection Certificates Policy #AC 4138PH and AC 4140PH.

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