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Title Type Order #
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Attending Physician's Statement - Bacterial meningitis
NN1648E - Attending Physician's Statement - Bacterial meningitis (PDF)
Form NN1648 2018-03-31
Attending Physician's Statement - Multiple sclerosis
NN1495E - Attending Physician's Statement - Multiple sclerosis
Form NN1495 2018-03-31
Attending Physician’s Statement - Loss of speech
NN1492E - Attending Physician’s Statement – Loss of Speech
Fact Sheet NN1492 2018-03-31
Attending Physician's Statement - Aplastic anemia
NN1647E - Attending Physician's Statement - Aplastic anemia (PDF)
Form NN1647 2018-03-31
Attending Physician's Statement - Kidney failure
NN1491E - Attending Physician's Statement - Kidney failure
Fact Sheet NN1491 2018-03-31
Attending Physician's Statement - Paralysis
NN1497E - Attending Physician's Statement - Paralysis
Form NN1497 2018-03-31
Lawyers Financial / CBIA HealthProtect Retiree Plan
Extended Health Claim form
Article GL5278 2018-04-09
Attending Physician’s Statement - Stroke
NN1501E - Attending Physician’s Statement - Stroke
Form NN1501 2018-04-10
Attending Physician’s Statement - Coronary bypass surgery
NN1486E - Attending Physician’s Statement - Coronary bypass surgery
Form NN1486 2018-04-10
Attending Physician’s Statement - Aortic surgery
NN1483E - Attending Physician’s Statement - Aortic Surgery (PDF)
Form NN1483 2018-04-10
Attending Physician's Statement - Dementia, including Alzheimer's disease
NN1502E - Attending Physician's Statement - Dementia, including Alzheimer's disease (PDF)
Form NN1502 2018-04-10
Attending Physician's Statement - Heart attack
NN1488E - Attending Physician's Statement - Heart attack
Form NN1488 2018-04-10
Advisor-app: Third Party Identification form - Manulife Bank, fraud prevention (AB0321)
AB0321 - Third Party Identification form
Application AB0321 2015-11-01
Pre-Authorized Debit (PAD) Agreement (AB0523)
AB0523 - Pre-Authorized Debit (PAD) Agreement
Form AB0523 2014-12-18
BC - MVR (Motor Vehicle Report) - British Columbia
Order form for a British Columbia Motor Vehicle Report
Form 2018-05-25
QC - MVR (Motor Vehicle Report) - Quebec
Order form for a Quebec Motor Vehicle Report
Form 2018-05-25
Small Business Employer Enrolment Summary (not available in Quebec)
(Not available in Quebec) Health & Dental
NA AF1442E 2017-01-30
NN0625E – How to send a claim for disability benefits
NN0625E – Statement of accident or Illness for disability insurance
Form NN0625
NN1482E – How to send a claim for critical illness benefits
NN1482 – Critical Illness Claimant’s Statement
Form NN1482 2018-06-04
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
Request to split a multi-plan insurance policy
NN0997E - Request to Split a Multi-plan Insurance Policy. (PDF)
Form NN0997 2018-07-09
Application to convert Affinity life insurance
NN1544E - Application to convert Affinity life insurance (PDF)
Form NN1544 2018-06-30
Application for compassionate assistance loan claimant's statement
NN0991E - Application For Compassionate Assistance Loan Claimant's Statement
Form NN0991 2018-10-01
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
$US Funds Transfer Pre-Authorized Debit Agreement (AB0441)
AB0441 - $US Funds Transfer Pre-Authorized Debit Agreement
Form AB0441 2018-09-26
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
Change/Contribution/Withdrawal Request form - RRSP, RRIF, and TFSA (AB0207)
This form is used to request a change, additional contribution, or withdrawal - RRSP, RRIF, TFSA. (AB0207)
Form AB0207 2018-10-02
Transfer Authorization for Registered Investments (AB0164)
Transfer Authorization form for RSP, LIRA, LRSP, RIF, TFSA (AB0164)
Form AB0164 2018-10-02
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
Family Term & Business Term product page
NN0799E - Product page - Family Term & Business Term (PDF)
NA NN0799 2018-03-26
Medical Marijuana Prior Authorization
GL5572E - Affinity Markets Medical Marijuana Prior Authorization Form (PDF)
Form GL5572E 2018-10-01
Beneficiary designation at a coverage level
NN0772E - Beneficiary designation at a coverage level (PDF)
Form NN0772 2015-06-01
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
Payment Authorization Plan
Personal Accident Disability Insurance, Disability Guaranteed Renewable (PDF)
Form 2010-06-01
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
Application for policy loan
NN0522E - Application for policy loan (PDF)
Form NN0522 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