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Title Type Order #
xxxxxxE
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NN0625E - How to send a claim for premium waiver disability coverage
NN0625E – Statement of accident or Illness for disability insurance
Form NN0625 2018-06-04
Security UL product page
NN0902E - Security UL Product page (PDF)
Form NN0902 2018-03-26
Request to Split an Individual Insurance Policy
NN0943E - Request to Split an Individual Insurance Policy (to split a joint policy). (PDF)
Form NN0943 2018-07-09
Application to convert Affinity life insurance
NN1544E - Application to convert Affinity life insurance (PDF)
Form NN1544 2018-06-30
Signature and disclosure booklet for electronic applications (For use online)
NN7006E - Signature and disclosure booklet used for electronic applications
Application NN7006 2018-06-30
Mortgage Increase, Roll-In or Product Change Application (WM1037)
Mortgage Increase, Roll-In or Product Change Application form (WM1037)
Form WM1037 2018-08-13
InnoVision product page
NN0780E - InnoVision Product page. (PDF)
Form NN0780 2018-09-21
AB0466E Business Funds Transfer Agreement (for Canadian Dollar accounts only)
AB0466E - Client-app: Business funds transfer pre-authorized debit agreement
Form AB0466 2018-09-25
Internal replacement
NN1644E - Internal replacement (PDF)
Form NN1644 2016-10-31
Extended Health Care Beneficiary Designation
This form is to be used for members who have the Accidental Death & Dismemberment benefit as part of their Extended Health Care plan.
Form AF1450 2018-11-01
ManulifeMONEY+ Visa Information Box & Disclosures (AB0825E)
ManulifeMONEY+ Visa Information Box & Disclosures
Article AB0825 2018-10-29
Medical Marijuana Prior Authorization
GL5572E - Affinity Markets Medical Marijuana Prior Authorization Form (PDF)
Form GL5572E 2018-10-01
Change of name: Due to marriage, divorce, or adoption
NN0741E - Change of name: Due to marriage, divorce, or adoption
Form NN0741 2018-08-31
Assignment of Benefits
AF1324E - By completing this form, the policyholder authorizes Manulife to pay the health provider directly. Fees not covered under the plan will be the financial responsibility of the claimant. (PDF)
Form AF1324 2018-11-01
Client-app: Access Line Application - Access Line of Credit (AB0176)
AB0176 - Access line of credit application
Application AB0176 2018-03-20
Retired Women Teachers of Ontario (RWTO) Claim Form
AF1256E - For claims under the Retired Women Teachers of Ontario plans only. Fees not covered under the benefit plan will be the financial responsibility of the claimant. (PDF)
Form AF1256 2018-11-01
Personal Accident Disability Insurance and Cash Hospital Annotated Sample Contract
Understanding the Personal Accident Disability Insurance and Cash Hospital Contract: Annotated Sample Contract (PDF)
Contract 2012-10-01
Application for Personal Accident Disability Insurance - Print version
Application for Personal Accident Disability Insurance - Print version (PDF)
Application 2017-12-07
Transfer of Ownership
Transfer of Ownership Form for Personal Accident Disability Insurance. (PDF)
Form 2015-09-17
Personal Accident Disability Insurance and Cash Hospital Annotated Application
The Advisor’s Guide to Helping your Clients Complete the Application (PDF)
Application 2015-09-30
Policy Surrender
NN0387E - Surrender and discharge of policy
Form NN0387 2018-08-31
Corporate Insured Retirement Program Corporate Line of Credit Application (AB0808)
This Application is exclusively for clients with whole life or universal life insurance policies with Manulife. (AB0808)
Form AB0808 2019-01-07
RIF/LIF/LRIF/PRIF Application
GP4931E - Group Retirement Income Plan (RRIF, LIF, LRIF, PRIF) (PDF)
Form GP4931 2017-06-23
Manulife Par product page
NN1675E – Manulife Par product page
Form NN1675 2018-06-19
Personal Plan TFSA Enrolment
GP5400E - Personal Plans (PDF)
Form GP5400 2016-11-01
Personal Plan RSP Enrolment
GP0796E - Personal Plans (PDF)
Form GP0796 2016-11-01
Death Claim Requirements Quick Reference Card (NN0870)
NN0870E - Information about death claim requirements for individuals (PDF)
NA NN0870 2018-08-01
Beneficiary designations for LivingCare policies
NN1561E - Beneficiary designations for LivingCare policies
Form NN1561 2016-07-01
Direction to pay for disability policies and critical illness policies (except Lifecheque and Synergy)
NN1611E - direction to pay for disability policies and critical illness policies (except Lifecheque and Synergy) (PDF)
Form NN1611 2016-07-01
Beneficiary designations for Lifecheque policies
NN1467E - Beneficiary designations for Lifecheque policies. (PDF)
Form NN1467 2015-10-01
Direction to pay for Lifecheque policies
NN0999E - Direction to pay for Lifecheque policies (PDF)
Form NN0999 2016-07-01
Health & Dental Quote Request Form – National
Building a disability insurance plan that suits your client’s needs has become easier. All you need to do is fill in this editable form right on your computer and send it to your wholesaler. (PDF)
Form 162293 2019-03-22
Flexcare Marketing Materials Order Form
Flexcare Marketing Materials Order Form. (PDF)
Form 2018-04-06
Endorsement Form for Locked-In Funds (CS3141E)
An endorsement form must be given to a client who is applying for a savings or retirement income plan where the source of the premium payment is locked-in funds. (PDF)
Guide CS3141 2016-10-01
Standard Dental Claim Form
Claimants requiring reimbursement for dental care expenditures must have this form completed by their dentist or dental specialist. Original receipts and applicable supporting documentation must accompany all claim submissions. (PDF)
Form AF1040E 2015-02-01
Initial Claim Form
Complete this form to make an eligible claim on your Personal Accident Disability Insurance. (PDF)
Form 2019-01-01
Beneficiary designation
NN0283E - Beneficiary designation for life insurance.
Form NN0283 2016-07-01
Surrender and cancellation of policy (CS3192E)
This guideline provides information on policy surrenders and cancellations for the Life Insurance, Critical illness insurance, Savings and Retirement income policies. (PDF)
Guide CS3192 2017-04-01
Insurance Forms
Alerts and outages
Authorizations and Agreements - NN7006E AMW insert
If the policy will be paid for by automatic monthly withdrawal, this page forms part of the contract and must be dated, signed and submitted with the Signature and disclosure booklet for electronic applications, NN7006E.
NA 2010-01-01
Group Benefits Materials Re-order form
GL0006E - Forms pre-filled with plan specific information are available on our Internet Secure Site for groups with access to these sites. (PDF)
Form GL0006 2018-06-01
HUB Int contest entry form
HUB Int contest entry form
Application 2015-06-25
Commissionable advisor change
NN1613E - This form may be used to transfer one policy only. (PDF)
Form NN1613 2012-05-01
Payroll Deduction Authorization Form
Payroll Deduction Authorization Form
Form 2013-07-05
Amendment to the application for life, disability and critical illness insurance
NN1659E - Amendment to the application for life, disability and critical illness insurance (PDF)
Form NN1659 2016-09-26
Payroll Deduction Authorization Form
Payroll Deduction Authorization Form
Form 2014-07-22
Policitally Exposed Person Disclosure (AB0707)
The questions on this form collect the information required under Canada’s Proceeds of Crime (Money Laundering) and Terrorist Financing Act about politically exposed persons (AB0707)
Form AB0707 2017-06-15
Transfer to RIF/LIF/PRIF/RLIF/LRIF form
NN1672E - Use this form to request a transfer to RRIF/LIF/PRIF/RLIF/LRIF for Manulife Ideal Term or Manulife Ideal Segregated Fund contracts. (PDF)
Form NN1672 2017-10-23
Transfer authorization for registered investments
This form is to provide transfer instructions for registered accounts. Similar to Government form (T2033) but pre-filled with former Standard Life mail coordinates. (PDF)
Form 6511 2017-10-23
Tax-Free Savings Account - Third party declaration form
NN1670 - This form is to be completed when contributions into a Tax-free Savings Account (TFSA) are made by a third party. (PDF)
Form NN1670 2017-12-14
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