Industrial Alliance Forms
- F1A Life Insurance Application (266 KB)
- F2A Alternative Application (760 KB)
- F3A Addition of Coverage (191 KB)
- F4A Request for Change - Individual Life Insurance (106 KB)
- F5A Beneficiary,Trustee - Assignment for Collateral, Name Change (200 KB)
- F6A Surrender, Loan, Dividends, Partial Withdrawal (207 KB)
- F7A Disability Income Insurance Application (657 KB)
- F8A Perspective Application (586 KB)
- F10-316A Bank Change Without Specimen (51 KB)
- F10A Universal Life - Transaction Request (644 KB)
- F13-166A Medical Requirements (123 KB)
- F30A Designation of Ownership - Contigent Owner(s) (234 KB)
- F30-140 Authorization Form (55 KB)
- F30-161A Questionnaire on Tobacco Use (33 KB)
- F32A - Transition - Simplified Issue - Form (485 KB)
- F32A-1 -Transition - Simplified Issue - Definitions of CI and Medical Conditions Covered (153 KB)
- F35-55A Disability - Claimant's Statement (60 KB)
- F35-136A Changes to an Existing PAC (142 KB)
- F35-275A - Direct deposit request (96 KB)
- F37-16A Health Modules - Claimant's Statement (72 KB)
- F37-18A Claimant's Statement - Accidental Fracture (103 KB)
- F37-20A Critical Illness (147 KB)
- F39-18A Endorsement - Index Account US Stocks DAQ (Series II) (136 KB)
- F51-201A - Limited Trading Authorization (115 KB)
- F51-208A Proceeds of crime (money laundering) and terrorist financing act (81 KB)
- FAQ - Limited Trading Authorization (131 KB)
- F55-21A Death claim - Claimant's Statement (116 KB)
- F55-21(2) - Death Claim - Claimant's Statement - Simplified Version
- F55-22A Proof of Death - Attending Physician Statement (189 KB)
- Q1A Questionnaires (155 KB)
- Q2A Financial Questionnaire (68 KB)
- Q3A Preferred Underwriting Prequalification Questionnaire (78 KB)
- Q4A Critical Illness Questionnaire (159 KB)
- Q5A Medical Questionnaires (125 KB)
- Q6A Disabilty Insurance Questionnaire Complementary to the Application (85 KB)