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as of 6/19/2013 16:00 ET
By form number

You must use the latest version of all forms listed here. Refer to the date in the Last updated column below to ensure the version of the form you're using is correct.

Most forms can only be printed; if a form is marked with a *, it can be completed online before it's printed.

Select the application or form to view or print. To order bulk supplies, use Online ordering.

Applications quick search (type at least 3 characters)

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Number App name Last updated
Number Form name Last updated

Applications by number

Only advisors associated with one of the Sun Life Financial distribution channels are permitted to use these applications.

Number App name Last updated
67 Application for reinstatement of life or critical illness insurance [PDF, 9 pages, 414 kb] 10-12
87-W Application for change to an existing life insurance policy [PDF, 1 page, 79 kb] 11-10
110 Application for policy change, reinstatement and/or reconsideration of rating [PDF, 27 pages, 900 kb] 09-12
260 Application for conversion and exercising Guaranteed insurability benefit (GIB) option [PDF, 18 pages, 656 kb] 09-12
328 Application for change to an existing critical illness policy [PDF, 1 page, 104 kb] 09-12
3318 Application for a payout annuity [PDF, 16 pages, 1.34 mb] 10-11
3494 Personal Health Insurance application form [PDF, 7 pages, 155 kb] 04-12
4065 Health Coverage Choice application form [PDF, 6 pages, 144 kb] 04-12
810-2799 Application for life and/or critical illness insurance [PDF, 45 pages, 1.3 mb] 09-12
810-2815 RapidApp/Tele-interviewing application for life and/or critical illness insurance [PDF, 38 pages, 966 kb] 09-12
810-3523 Application for long term care insurance [PDF, 15 pages, 335 kb] 11-12
810-3545 Sun Life Trust GIC and Sun GIC Max - TFSA applications have been combined. The new form number is 810-3548. (3545 is now obsolete).  
810-3546 Insurance GIC, Superflex annuity & Income Master RRIF applications have been combined. The new form number is 810-3549 (810-3546 is now obsolete).  
810-3547 Application for Sun GIC Max or Guaranteed Investment Certificate: RSP or non-registered [PDF, 12 pages, 715 kb]
Note: Please obtain a supply of this application through online ordering. If there is a need to print this copy to open a new account, please ensure a copy of it and the attached contract are provided to the client. A copy should also be retained for advisor records. Saskatchewan advisors must be registered as a Deposit Agent with the province of Saskatchewan in order to sell this product.
06-11
810-3548 Application for Sun GIC Max or Guaranteed Investment Certificate: Tax-Free Savings Account [PDF, 9 pages, 539 kb]
Note: Please obtain a supply of this application through online ordering. If there is a need to print this copy to open a new account, please ensure a copy of it and the attached contract are provided to the client. A copy should also be retained for advisor records. Saskatchewan advisors must be registered as a Deposit Agent with the province of Saskatchewan in order to sell this product.
06-11
810-3549 Insurance GIC - Application for Superflex Deferred Annuity: RSP/LIRA/Non-registered or Income Master Annuity: RIF/LIF/RLIF [PDF, 10 pages, 626 kb]
Note: Please obtain a supply of this application through online ordering. If there is a need to print this copy to open a new account, please ensure a copy of it and the attached contract are provided to the client. A copy should also be retained for advisor records. This file prints to 8½' x 14' paper.
08-12
810-3584 Application for Superflex annuity: TFSA [PDF, 8 pages, 513 kb]
Note: Please obtain a supply of this application through online ordering. If there is a need to print this copy to open a new account, please ensure a copy of it and the attached contract are provided to the client. A copy should also be retained for advisor records.
07-12
*810-3639 Application for a SunFlex Retirement Income [PDF, 8 pages, 1.12 mb] 02-13
810-3707 Sun application (for SunTerm and Sun Critical illness insurance) [PDF, 18 pages, 889 kb] 09-12

Forms by number

Number Form name Last updated 

1

Aerial activities questionnaire [PDF, 1 page, 122 kb]

10-12

4

Aviation questionnaire [PDF, 2 pages, 157 kb]

10-12

9 Interpreter services declaration (For use on life, critical illness and long term care insurance applications.) [PDF, 1 page, 117 kb] 11-12

12

Drug questionnaire [PDF, 1 page, 136 kb]

10-12

13 Disability claim - Claimant's statement [PDF, 4 pages, 232 kb] 05-12
14 Disability claim - Attending physician's statement of disability [PDF, 5 pages, 204 kb] 05-12
15 Disability claim - Employer's statement [PDF, 3 pages, 143 kb] 05-12
16A Application for a change of dividend option [PDF, 1 page, 123 kb] 04-08
16B Application for a Withdrawal or Transfer of funds [PDF, 1 page, 111 kb] 07-05

17

Mountain Climbing Questionnaire [PDF, 1 page, 135 kb]

10-12

18

Declaration of smoking status [PDF, 2 pages, 145 kb]

09-12

19 Motor Racing Questionnaire [PDF, 2 pages, 167 kb] 11-12

20

Request for information from medical records [PDF, 1 page, 109 kb]

10-12

22 Beneficiary change - GIC products Sun Life Financial Trust Inc. - RRSP/TFSA (not applicable in Quebec) [PDF, 1 page, 80 kb] 07-09

24

Underwater diving questionnaire [PDF, 2 pages, 161 kb]

10-12

25 Scheduled automatic withdrawals from a guaranteed wealth product [PDF, 2 pages, 130 kb] 05-12

26

Alcohol usage questionnaire [PDF, 1 page, 131 kb]

10-12

27 Assignment of policy (collateral) - (uniform provinces) [PDF, 1 page, 99 kb] 01-13
28 Contingent owner change form [PDF, 1 page, 78 kb] 06-12
29 Cancel contingent owner form [PDF, 1 page, 73 kb] 07-09
35 Date of birth - confirmation [PDF, 1 page, 133 kb] 09-06
36 Release of beneficiary's interest [PDF, 1 page, 135 kb] 06-07
37 Release of interest of assignee (uniform provinces) [PDF, 1 page, 77 kb] 02-13
42 Release of interest of movable hypothec (Quebec) [PDF, 1 page, 79 kb] 02-13
43 Request for confidential information regarding serving members of the Canadian Forces [PDF, 1 page, 115 kb] 11-12
44 Request for confidential information regarding persons discharged from the Armed Forces [PDF, 1 page, 125 kb] 11-12
45 Family history questionnaire [PDF, 1 page, 99 kb] 11-12
53 Payee designation change for critical illness insurance policies [PDF, 1 page, 95 kb] 01-13
63 Transfer registered assets from another company to a registered product [PDF, 2 pages, 78 kb] 12-08
65 Proof of Death/Physician's Statement [PDF, 1 page, 55 kb] 03-11
72 Authorization For Advance Payment Of Death Benefit [PDF, 2 pages, 87 kb] 08-06
73 Letter of authorization - Non-residents (CRA) [PDF, 1 page, 83 kb] 02-13
75*

Important! When printing this form, you must use the Print prefilled form or Print blank form buttons on the form itself. Do not print the form using the browser or PDF toolbars.

Pre-authorized chequing (PAC) authorization [PDF, 1 page, 578 kb]

04-13
77 Absolute assignment (Transfer of ownership) of non-registered GIC products [PDF, 1 page, 105 kb] 08-12
79*

Important! When printing this form, you must use the Print prefilled form or Print blank form buttons on the form itself. Do not print the form using the browser or PDF toolbars.

Request to surrender your insurance policy [PDF, 1 page, 595 kb]

04-13
80 Policy Loan Request [PDF, 1 page, 89 kb] 07-05
81 Withdrawal or transfer from a guaranteed wealth product [PDF, 2 pages, 114 kb] 05-12
82*

Important! When printing this form, you must use the Print prefilled form or Print blank form buttons on the form itself. Do not print the form using the browser or PDF toolbars.

Assignment of policy absolute (Transfer of ownership) [PDF, 1 page, 580 kb]

04-13
83*

Important! When printing this form, you must use the Print prefilled form or Print blank form buttons on the form itself. Do not print the form using the browser or PDF toolbars.

Beneficiary change request form [PDF, 1 page, 604 kb]

04-13
84 Beneficiary Claim Statement [PDF, 2 pages, 81 kb] 11-08
85 Name change or correction [PDF, 1 page, 104 kb] 08-11
96 Financial questionnaire [PDF, 3 pages, 114 kb] 03-12
98 Irrevocable beneficiary appointment (Nova Scotia only) [PDF, 1 page, 132 kb] 05-07
99 Declaration of death by estate trustee [PDF, 1 page, 139 kb] 05-07
108*

Important! When printing this form, you must use the Print prefilled form or Print blank form buttons on the form itself. Do not print the form using the browser or PDF toolbars.

Request to rescind your insurance policy [PDF, 1 page, 594 kb]

04-13
113 Declaration of transmission [PDF, 1 page, 73 kb] 08-10
118 Personal Health Insurance - terminating coverage with Sun Life Assurance Company of Canada [PDF, 1 page, 83 kb] 07-12
128 Application for Premium Offset payment arrangement [PDF, 1 page, 76 kb] 07-05
157 Authorization to move money to non-registered guaranteed savings policies [PDF, 2 pages, 87 kb] 10-09
161 Direct transfer to payout annuity [PDF, 2 pages, 83 kb] 04-09
167 Spousal declaration [PDF, 1 page, 56 kb] 07-05
199 Critical Illness - Physician's Statement (Heart attack) [PDF, 2 pages, 91 kb] 02-06
200 Critical Illness - Physician's Statement (Stroke/CVA) [PDF, 2 pages, 91 kb] 02-06
201 Critical Illness - Physician's Statement (Cancer) [PDF, 2 pages, 91 kb] 02-06
202 Critical Illness - Physician's Statement (Coronary Artery Bypass Surgery) [PDF, 2 pages, 91 kb] 02-06
203 Critical Illness Claim Form [PDF, 1 page, 64 kb] 02-06
206 Electronic funds transfer (EFT) for payout annuity products [PDF, 1 page, 109 kb] 07-11
220 Change form - Long term care insurance [PDF, 2 pages, 144 kb] 08-12
221 Long Term Care insurance - Claimant's statement [PDF, 6 pages, 210 kb] 04-12
222 Long term care insurance - Attending physician's statement [PDF, 5 pages, 228 kb] 04-12
223 Medical information and functionality ability questionnaire for long term care insurance [PDF, 8 pages, 279 kb] 08-12
226 Application for reinstatement - Long term care insurance [PDF, 7 pages, 254 kb] 10-12
228 Important information you should know [PDF, 1 page, 79 kb] 08-12
229 Policy owner authorization to exercise policy options or make changes to your policy [PDF, 1 page, 120 kb] 08-12
256 Attending physician's diabetic questionnaire [PDF, 2 pages, 157 kb] 08-12
257 Driver record authorization [PDF, 1 page, 122 kb] 08-12

258

Supplementary questionnaire for SunTerm [PDF, 1 page, 144 kb]

10-12

259

Foreign residence/travel questionnaire [PDF, 2 pages, 153 kb]

10-12

261 Proof of Claim of Assignee - Uniform Provinces [PDF, 1 page, 100 kb] 06-05
263 Driving history questionnaire [PDF, 1 page, 146 kb] 08-12

264

Psychiatric / mental health questionnaire [PDF, 1 page, 138 kb]

10-12

265 Chest pain or discomfort questionnaire [PDF, 1 page, 150 kb] 11-12
266 Fainting or episodes of loss of consciousness questionnaire [PDF, 1 page, 135 kb] 10-12

267

Digestive/bowel disorder questionnaire [PDF, 1 page, 139 kb]

10-12

268

Asthma, bronchitis, or respiratory questionnaire [PDF, 1 page, 145 kb]

10-12

269

Diabetes questionnaire [PDF, 1 page, 142 kb]

10-12

272 SunUniversalLife or SunUniversalLife MAX - Early death benefit beneficiary election and/or change - Joint last to die coverage (policy value only) [PDF, 1 page, 68 kb] 01-08

273

Request for disclosure of reasons for underwriting decision [PDF, 1 page, 107 kb]

10-12

274-W Medical assessment request for impaired annuity [PDF, 1 page, 94 kb] 07-05
275 Proof of claim of hypothecary creditor (Quebec) [PDF, 1 page, 80 kb] 08-09
276 Authorization to disclose medical information [PDF, 1 page, 101 kb] 11-12
277 Responsibility to report cancer or benign brain tumour [PDF, 1 page, 81 kb] 01-13
279 Telephone access for client inquiries or transactions change form [PDF, 1 page, 77 kb] 10-09
294 Application to redeem locked-in money due to shortened life expectancy [PDF, 2 pages, 109 kb] 11-12
297 Spousal consent to transfer to a Life Income Fund (LIF) - Ontario [PDF, 1 page, 62 kb] 07-05

298

Pain questionnaire - long term care insurance [PDF, 2 pages, 129 kb]

10-12

303 Critical Illness - Physician's statement (benign brain tumour) [PDF, 2 pages, 78 kb] 02-07
304 Critical illness - Physician's statement (coma) [PDF, 2 pages, 78 kb] 02-07
305 Critical illness - Physician's statement (multiple sclerosis) [PDF, 2 pages, 78 kb] 02-07
306 Critical illness - Physician's statement (ALS) [PDF, 2 pages, 78 kb] 02-07
310 SunUniversalLife Policy or SunUniversal Life MAX - Client service request for a policy issued in Canada [PDF, 2 pages, 126 kb] 04-13
311 SunUniversalLife Policy - Client Service Request for policies issued in Bermuda only [PDF, 1 page, 113 kb] 01-10
312 Sun Limited Pay life policy - Client service request [PDF, 2 pages, 123 kb] 03-13
313 SunTerm Policy - Client service request [PDF, 1 page, 93 kb] 04-13
318 SunUniversalLife - Application for access to the policy fund when disabled - Claimant's statement of disability [PDF, 8 pages, 328 kb] 11-06
319 SunUniversalLife - Application for access to the policy fund when disabled-Attending physician's statement of disability [PDF, 5 pages, 237 kb] 11-06
322 Application for one-time unlocking of up to 50 per cent of Alberta LIRA [PDF, 1 page, 89 kb] 11-12
323 Personal Health Insurance - Add family member [PDF, 5 page, 150 kb] 03-10
324 Personal Health Insurance - Name change or correction [PDF, 1 page, 75 kb] 02-09
325 Personal Health Insurance - Date of birth correction [PDF, 1 page, 78 kb] 02-09
326 Personal Health Insurance - Address change [PDF, 1 page, 65 kb] 04-08
327 Personal Health Insurance - Add optional benefit [PDF, 4 pages, 162 kb] 01-10
810-1625 Request for SunUniversalLife or SunUniversalLife MAX In-force Illustration [PDF, 1 page, 107 kb] 04-08
810-3660 SunFlex Retirement Income - Request to transfer income to a Sun Life Payout Annuity [PDF, 4 pages, 549 kb] 06-13
810-3661 SunFlex Retirement Income - Performance-linked investments change request [PDF, 2 pages, 451 kb] 12-12
810-3662 SunFlex Retirement Income - Request for an income advance [PDF, 1 page, 462 kb] 04-13
906-0185 Change of Address/Telephone Number/E-mail Address [PDF, 1 page, 108 kb] 01-06
906-0220 Request for CNA Term to SunUniversalLife Conversion Illustration [PDF, 1 page, 73 kb] 03-12
906-0225 Request For Service Representative [PDF, 1 page, 31 kb] 02-02

3331

Juvenile declaration of smoking status [PDF, 1 page, 80 kb]

Note: Please refer to Juvenile smoking status change for when to use this form.

02-13

4040 Long term care insurance - Policy review checklist [PDF, 1 page, 72 kb] 11-12
4104 Identity verification, third party determination and politically exposed foreign persons (PEFP) form [PDF, 5 pages, 126 kb] 02-12
4104-I Instruction page for completion of Identity verification, third party determination and politically exposed foreign persons (PEFP) form [PDF, 2 pages, 151 kb] 02-09
4105 Identity verification, third party determination and politically exposed foreign persons (PEFP) form (Investments and Wealth) [PDF, 5 pages, 132 kb] 02-12
4105-I Instruction page for completion of Identity verification, third party determination and politically exposed foreign persons (PEFP) form (Investments and Wealth) [PDF, 2 pages, 110 kb] 02-11
4136 Extended Health Care claim form for Personal Health Insurance [PDF, 2 pages, 60 kb] 08-08
4137 Dental claim form for Personal Health Insurance [PDF, 1 page, 51 kb] 08-08
4207 Certificate of Incumbency [PDF, 1 page, 75 kb] 04-08
4255 Source of funds declaration (for Bermuda use only) [PDF, 1 page, 73 kb] 06-10
4299 Mailing labels for in-force business (blue) [PDF, 1 page, 40 kb] 04-06
4300 Mailing labels for new business (yellow) [PDF, 1 page, 40 kb] 04-06
4329 Request to extend policy maturity date for a guaranteed savings annuity [PDF, 1 page, 62 kb] 11-08
4330 Insurance Funding Strategy (IFS)/Investment Multiplier Strategy (IMS) loan request [PDF, 1 page, 87 kb] 03-10
4351 Request to unlock up to 50 per cent of Federal RLIF [PDF, 1 page, 83 kb] 11-12
4352 Request to surrender a term certain payout annuity [PDF, 1 page, 87 kb] 02-09
4353 Authorization to move money from non-registered contracts to Tax-Free Savings Account guaranteed savings contracts [PDF, 1 page, 115 kb] 12-08
4354 Premium frequency change [PDF, 1 page, 99 kb] 01-10
4357 Life Insurance Replacement Declaration (ONLY to be used by ON, SASK, MAN., NS, PEI, and NFLD) [PDF, 2 pages, 121 kb] 11-12
4360 Personal Health Insurance - Pre-authorized chequing (PAC) or Credit card authorization [PDF, 2 pages, 124 kb] 10-11
4366 Personal Health Insurance - Remove optional benefit [PDF, 1 page, 67 kb] 03-12
4371 Personal Health Insurance - Declaration of death [PDF, 1 page, 71 kb] 05-09
4373-W Limited authorization [PDF, 2 pages, 88 kb] 08-09
4376 Authorization to disclose information to my advisor/LTCI specialist on life, critical illness and/or long term care insurance applications [PDF, 1 page, 90 kb] 06-10
4378 Transfer from a Tax-Free Savings Account (TFSA) to another TFSA on breakdown of marriage or common-law partnership [PDF, 2 pages, 111 kb] 07-09
4379 Third party authorization form [PDF, 1 page, 93 kb] 03-13
4380 Personal Health Insurance - Remove dependant [PDF, 1 page, 60 kb] 03-12
4386 Personal Health Insurance - Application for dependants previously insured with PHI [PDF, 5 pages, 160 kb] 09-10
4388 Life claims disappearance questionnaire [PDF, 4 pages, 93 kb] 01-10
4389 Foreign death questionnaire [PDF, 3 pages, 92 kb] 08-09
4390 Notice of movable hypothec without delivery (Quebec) [PDF, 1 page, 105 kb] 06-10
4391 Successor annuitant change form [PDF, 1 page, 78 kb] 10-09
4392 Personal Health Insurance - Pre-authorized chequing (PAC) authorization for Web applications [PDF, 2 pages, 91 kb] 10-09
4407 Critical illness out of country diagnosis questionnaire [PDF, 2 pages, 251 kb] 05-10
4416 Manitoba withdrawal/unlocking application - LIRA/LIF [PDF, 1 page, 81 kb] 06-10
4417-AB Spousal status declaration for deceased contract owner - Locked-in funds in Alberta [PDF, 1 page, 88 kb] 08-11
4417-BC Spousal status declaration for deceased contract owner - Locked-in funds in British Columbia [PDF, 1 page, 89 kb] 08-11
4417-FED Spousal status declaration for deceased contract owner - Locked-in funds for federal pensions [PDF, 1 page, 88 kb] 08-11
4417-MB Spousal status declaration for deceased contract owner - Locked-in funds in Manitoba [PDF, 1 page, 98 kb] 08-11
4417-NB Spousal status declaration for deceased contract owner - Locked-in funds in New Brunswick [PDF, 1 page, 86 kb] 02-12
4417-NL Spousal status declaration for deceased contract owner - Locked-in funds in Newfoundland and Labrador [PDF, 1 page, 85 kb] 11-11
4417-NS Spousal status declaration for deceased contract owner - Locked-in funds in Nova Scotia [PDF, 1 page, 91 kb] 08-11
4417-ON Spousal status declaration for deceased contract owner - Locked-in funds in Ontario [PDF, 1 page, 94 kb] 08-11
4417-QC Spousal status declaration for deceased contract owner - Locked-in funds in Quebec [PDF, 1 page, 90 kb] 08-11
4417-SK Spousal status declaration for deceased contract owner - Locked-in funds in Saskatchewan [PDF, 1 page, 86 kb] 08-11
4432 Life Insurance Replacement Declaration (ONLY to be used by ALBERTA and BC) [PDF, 1 page, 75 kb] 02-11
4490 Policy delivery receipt [PDF, 1 page, 541 kb] 08-12

4531

Out of Canada policy delivery authorization [PDF, 1 page, 63 kb]

06-13

5981A-75 Authorization for the disclosure of a driving record by the Société de l’assurance automobile du Québec [PDF, 1 page, 175 kb] 01-12
10127 (Canada Life Form) Canada Life Policy Exchange Form [PDF, 1 page, 39 kb] 07-03
MV2680 (ICBC Licensing support form) ICBC Driver's Licence Abstract Request or Certified Record(s) [PDF, 1 page, 331 kb] 04-03
Published: 01/09/2005
Last updated: 18/06/2013

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