Important: 

• When the paper version of these forms is beforehand numbered, you should not use the PDF version to submit an application to the Company.
• To access the French version of the forms, select "Français" on the upper right hand side of your screen.
   
• All Provinces except Quebec
• Province of Quebec only
   

All Provinces except Quebec
 

• Application for simplified issue insurance
• Life, Health and Disability Insurance (including SOLO products since March 2009)
   
  • How to complete the Life, Health and Disability Insurance application
  • Amendment - Disability Income Insurance Plan
     
• Harmony Consumer's Critical Illness Simplified Issue Application Form
• Independent Living Insurance Application
• Policy delivery receipt
• SOLO Application 
• SOLO Healthcare Application
• Golden Edge Application
• Foreign Language Declaration
   
  

The application form below should be completed for the following products:

• Life insurance (except for “Golden Edge” product)
• Disability insurance
• Critical Illness insurance (except for “Critical Illness Simplified Issue Insurance”)
  
  

Application for simplified issue insurance - 00133E04
   4 pages - 116 Kb

Life, Health and Disability Insurance (including SOLO products since March 2009) - 07002E (12-01)
   30 pages - 3.8 Mb

How to complete the Life, Health and Disability Insurance application
   43 pages - 2.5 Mb

If the disability income contract is part of a grouping of contracts wherein the benefit becomes taxable, the following form must also be filled:

Amendment - Disability Income Insurance Plan - 09079E (12-03)
   1 page - 120 kb

Harmony Consumer's Critical Illness Simplified Issue Application Form - 00133E03 (11-08)
   10 pages - 5 Mb

Independent Living Insurance Application - 05026E (11-08)
   8 pages - 356 kb

Policy delivery receipt - 11155E (11-05)
   1 page - 382 kb

SOLO Application - 01224E (06-09)
   4 pages - 200 kb

SOLO Healthcare Application - 02187E (10-08)
   18 pages - 783 kb

Golden Edge Application - 00208E (10-02)
   12 pages - 433 kb  

Province of Quebec only
 

• Application for simplified issue insurance
• Life, Health and Disability Insurance (including SOLO products since March 2009) 
   
  • How to complete the Life, Health and Disability Insurance application 
  • Amendment - Disability Income Insurance Plan
     
• Harmony Consumer's Critical Illness Simplified Issue Application Form
• Independent Living Insurance Application
• Policy delivery receipt 
• SOLO Application
• SOLO HCP 
• SOLO Healthcare Application
• Planned gift application
• Foreign Language Declaration
• Golden Edge Application
   

The application form below should be completed for the following products:

• Life insurance (except for “Golden Edge” product)
• Disability insurance
• Critical Illness insurance (except for “Critical Illness Simplified Issue Insurance”)
  
  

Life, Health and Disability Insurance (including SOLO products since March 2009) - 07002E (12-01)
   30 pages - 3.8 Mb

How to complete the Life, Health and Disability Insurance application
   43 pages - 2.5 Mb

If the disability income contract is part of a grouping of contracts wherein the benefit becomes taxable, the following form must also be filled:

Amendment - Disability Income Insurance Plan - 09079E (12-03)
   1 page - 120 kb

Independent Living Insurance Application - 05026E (11-08)
   8 pages - 356 kb

Policy delivery receipt - 11155E (11-05)
   1 page - 382 kb

SOLO HCP - 98090E (09-12) 
   8 pages - 184 kb

SOLO Healthcare Application - 02187E (10-08)
   18 pages - 783 kb

Planned Gift application - 03047E07 (10-02)
   6 pages - 863 kb

Golden Edge Application - 00208E (10-02)
   12 pages - 433 kb