ivari
Advisor login Client login
  • FR
  • ivari-Sagicor-logo-EN
  • Got a question?
  • Forms & guides
  • Company information
  • News
  • Contact us
  • Products
        • Insurance
          • Overview
          • Insurance planning
          • Universal life insurance
          • Term insurance
          • Critical illness insurance
          • Guaranteed Life and Simplified Life insurance
        • Investments
          • Annuities
          • Inforce products
        • Value-added benefits
          • Maple Virtual Healthcare
  • Resources
        • FAQ
          • How do I
          • Making a claim
          • The ivari claims experience
          • Payment options
          • Forms for clients
          • e-Signature guidelines
          • Good reads
        • Tools
          • ivari digital tools
          • My ivari
          • My Insurance View
          • Wellness quiz
          • Financial challenge quiz
          • Send documents
          • Online change forms
          • Mobile experience
        • Financial quick links
          • Fund facts & performance updates
          • Net Rates of Return and Prices
          • Fund code finder
          • Segregated fund financial statements
  • About ivari
        • Contact
        • Main reception
          416-883-5000

          Corporate mailing address
          ivari
          200-5000 Yonge Street
          Toronto, Ontario M2N 7E9
        • Policy-related contact
        • Are you a policyholder with ivari?
          Please use this mailing address for all policy-related correspondence

          Policy-related mailing address
          ivari
          P.O. Box 4241, Station A
          Toronto, ON M5W 5R3
        • Customer service
        • Toll free: 1-800-846-5970

          For general inquiries:
          [email protected]

          Need to send us something?
          Send requests securely
        • About us
          • Company information
          • News
          • Careers
          • New to ivari
          • Contact us
  • ivari-Sagicor-logo-EN
  • Got a question?
  • Forms & guides
  • Company information
  • News
  • Contact us
  • Products
        • Insurance
          • Overview
          • Insurance planning
          • Universal life insurance
          • Term insurance
          • Critical illness insurance
          • Guaranteed Life and Simplified Life insurance
        • Investments
          • Annuities
          • Inforce products
        • Value-added benefits
          • Maple Virtual Healthcare
  • Resources
        • FAQ
          • How do I
          • Making a claim
          • The ivari claims experience
          • Payment options
          • Forms for clients
          • e-Signature guidelines
          • Good reads
        • Tools
          • ivari digital tools
          • My ivari
          • My Insurance View
          • Wellness quiz
          • Financial challenge quiz
          • Send documents
          • Online change forms
          • Mobile experience
        • Financial quick links
          • Fund facts & performance updates
          • Net Rates of Return and Prices
          • Fund code finder
          • Segregated fund financial statements
  • About ivari
        • Contact
        • Main reception
          416-883-5000

          Corporate mailing address
          ivari
          200-5000 Yonge Street
          Toronto, Ontario M2N 7E9
        • Policy-related contact
        • Are you a policyholder with ivari?
          Please use this mailing address for all policy-related correspondence

          Policy-related mailing address
          ivari
          P.O. Box 4241, Station A
          Toronto, ON M5W 5R3
        • Customer service
        • Toll free: 1-800-846-5970

          For general inquiries:
          [email protected]

          Need to send us something?
          Send requests securely
        • About us
          • Company information
          • News
          • Careers
          • New to ivari
          • Contact us

Forms & guides

Everything you need, in one place.

Online change forms

Send documents

e-Signature guidelines

e-Signature how-to videos

Can't find the form you need? Click here to view all available forms.

Add to / remove from My forms
Client form
Secured file

Sign your form and upload it with the Send Documents tool. Make sure your signature closely matches ours for faster processing.

Title ↕ Form number ↕ Revision date ↕ Link
“In Good Order” (IGO) Transaction Guidelines – Investment Products Operations Administrative Guide IP59 9/23
View PDF
“In Good Order” (IGO) Transaction Guidelines – Life Operations Administrative Guide LP1352 9/23
View PDF
“In Good Order” (IGO) Transaction Guidelines for WFG – Life Operations Administrative Guide WFG-LP2152 9/23
View PDF
Activities (Ongoing) Questionnaire CL2141 9/22
View PDF
Activities Questionnaire CL2140 9/22
View PDF
Advisor Screening Questionnaire DCC1698 9/23
View PDF
Affidavit IV1783 9/22
View PDF
Alcohol Usage Questionnaire UW-ALCQ377 9/22
View PDF
Allocation Form PS425 9/23
View PDF
Amendment between ivari and Broker DCC546 9/23
View PDF
Application to Exercise Purchase Option Rider PC1771 9/23
View PDF
Assignment DCC853 9/22
View PDF
Attending Physician’s Statement of Continuing Disability CL1676 9/23
View PDF
Aviation/Ultralight/Ballooning/Hang Gliding Questionnaire UW-AVIQ312 9/22
View PDF
Broker’s Contract DCC521 9/23
View PDF
Broker’s Contracting Kit DCC1514 6/25
View PDF
Certificate of Incumbency IP-LP1572 9/23
View PDF
Certificate of Incumbency – Fillable form DCC1137 9/22
View PDF
Change of Beneficiary Form PS367 9/23
Complete online View PDF
Claimant’s Statement (for Investment Products) CL766 9/23
View PDF
Claimant’s Statement (Life Insurance Claim) CL213 9/23
View PDF
Code of Ethical Market Conduct DCC1388 5/25
View PDF
Collateral Assignment PS391 9/23
View PDF
Compassionate Assistance Program – Attending Physician’s Statement CL1724 9/22
View PDF
Confidential Business Financial Questionnaire UW-BFINQ361 9/22
View PDF
Confidential Personal Financial Questionnaire UW-PFINQ362 9/22
View PDF
Confirmation of Compliance by Financial Institution Locked-in Pension Funds IP533 9/22
View PDF
Contact Information Change IV1527 9/23
Complete online View PDF
Contingent Owner PS373 9/23
View PDF
Contract Requirements and/or Transfer Request DCC358 10/25
View PDF
Conversion Application LP1285 9/24
View PDF
Convert a Registered Retirement Income Fund (RRIF) to a Registered Retirement Savings Plan (RRSP) IP1119 9/23
View PDF
Corporate/Non-Corporate Entity/Trust Ownership IP-LP1166 9/23
View PDF
Critical Illness Attending Physician’s Statement CL1476 9/23
View PDF
Critical Illness Claimant’s Statement CL1477 9/23
View PDF
CriticalADVANTAGE Claimant’s Statement CL1007 9/23
View PDF
Dealer/Nominee Transfer Form IP1186 9/23
View PDF
Declaration of tax residency for an entity IP-LP1601 9/23
View PDF
Direct Deposit Information DCC290 4/23
View PDF
Drug usage questionnaire UW-DRUGQ378 9/22
View PDF
Education, Training and Experience Questionnaire CL2142 9/22
View PDF
Electronic Funds Transfer (EFT) for express invoice payment CL2139 9/23
View PDF
Employer’s Statement Questionnaire CL2143 9/22
View PDF
Financial Service Form IP416 1/25
View PDF
Five for Life Fund Code Chart IP1348 6/23
View PDF
Foreign Death Questionnaire CL1720 2/24
View PDF
Foreign Travel Questionnaire UW-FTQ399 9/22
View PDF
GROWSafe (GS) / GROWSafe2 (GS2) Fund Code Chart IP1372 6/23
View PDF
GROWSafe3 (GS3) Fund Code Chart IP653 6/23
View PDF
Identity and Third Party Determination IP-LP782 9/23
View PDF
imaxx Guaranteed Investment Funds Application IP881 12/24
View PDF
imaxx Guaranteed Investment Funds Information Folder IP882 12/24
View PDF
imaxxGIF Fund Code Chart IP884 6/23
View PDF
Information organizer LP1750 6/24
View PDF
Initial Attending Physician’s Statement CL1008 9/23
View PDF
Insurance Application LP257 4/25
View PDF
Insured’s Request for Living Benefits CL1725 9/23
View PDF
Insured’s Request for Compassionate Assistance Benefit CL2111 9/23
View PDF
Insured’s Statement for Disability and Waiver Claim CL1009 9/23
View PDF
Investment Managers Series (IMS) III Fund Base Guarantee* form IP1292 9/23
View PDF
Investment Objectives & Segregated Fund Options IP1478 9/15
View PDF
Investor profile questionnaire LP1402 11/21
View PDF
Investor profile questionnaire – WFG advisors WFG-LP1222 11/21
View PDF
ivari Guaranteed Investment Funds – Fund code chart IP1347 6/23
View PDF
ivari’s non face-to-face application guidelines IV1616 9/22
View PDF
ivari’s non-face-to-face insurance application guidelines – WFG advisors WFG2012 9/21
View PDF
ivari’s Underwriting Requirements – Life Insurance Products & Critical Illness Protection Riders LP2027 9/25
View PDF
ivari’s Underwriting Requirements Chart for Life Policy Changes LP1416 2/22
View PDF
Job Analysis CL1464 9/22
View PDF
Limited Power of Attorney – ivari Investment Product Contracts IP177 9/23
View PDF
Limited Power of Attorney – Life Products LP183 9/23
View PDF
Managing Broker’s Contracting Kit DCC1515 9/23
View PDF
Market Intermediary Agreement DCC522 9/23
View PDF
Market Intermediary Agreement (MIA) Kit DCC1513 9/23
View PDF
Martial Arts & Combat Sports Questionnaire UW-MARTSQ1880 9/22
View PDF
Medical Authorization UW-LP1094 9/22
View PDF
Motor Vehicle Authorization (Alberta) MVR-AB
View PDF
Motor Vehicle Authorization Form (British Columbia) MVR-BC
View PDF
Motor Vehicle Authorization Form (Manitoba) MVR-MB
View PDF
Motor Vehicle Authorization Form (Northwest Territories) MVR-NT
View PDF
Motor Vehicle Authorization Form (Quebec) MVR-QC
View PDF
Motor Vehicle Authorization Form (Saskatchewan) MVR-SK
View PDF
Motor Vehicle Authorization Form (Yukon) MVR-YT
View PDF
Motor Vehicle Authorization Form & Letter (Nunavut) MVR-NV
View PDF
Motorized Vehicle Questionnaire UW-DRIVQ379 9/22
View PDF
Motorized Vehicle Racing Questionnaire UW-RACEQ401 9/22
View PDF
Mountaineering Questionnaire UW-MTNQ398 9/22
View PDF
Nervous Disorder Questionnaire UW-NERVQ346 9/22
View PDF
NN IP Segregated Funds Products Fund Code Chart IP1373 6/23
View PDF
Non-Financial Service Form for Existing Clients Only IP426 9/23
View PDF
Notice of Cancellation Movable Hypothec without Delivery (Québec) PS2137 9/23
View PDF
Notice of Movable Hypothec without Delivery (Québec) PS1462 9/23
View PDF
Notice of Transfer of Ownership for Insurance Products PS371 2/26
Complete online View PDF
Overhead Expense Application Supplement Download PC1772 9/22
View PDF
Parachuting/Sky Diving Questionnaire UW-PARAQ394 9/22
View PDF
Paramedical Examination Report UW-LP40 7/22
View PDF
Physician’s Statement Proof of Death CL990 9/22
View PDF
Plan Type Registration Change IP421 1/25
View PDF
Policy Change Application LP386 4/25
View PDF
Policy Ownership for Corporate & Non-Corporate Entities or Trusts IP-LP1747 9/23
View PDF
Policy Service Application PS339 9/23
Complete online View PDF
Politically Exposed Persons and Head of International Organization IP-LP1165 9/23
View PDF
Politically Exposed Persons and Head of International Organization for Claims – For beneficiary use only CL2110 9/23
View PDF
Pre-Authorized Debit (PAD) for Insurance Products PS375 9/23
Complete online View PDF
Pre-Disability Self Employed Profile CL1465 9/23
View PDF
prosperity Guaranteed Life and prosperity Simplified Life Product Guide WFG2228 12/25
View PDF
prosperity term Rate Guide – for WFG WFG-LP1296 10/23
View PDF
prosperity Universal Life Fund Code Chart – WFG advisors WFG-LP1779 10/24
View PDF
Questions to be Posed when a Spouse Claims as Beneficiary CL580 9/22
View PDF
Reinstatement and non-smoker change application for Guaranteed and Simplified policies LP1990 6/25
View PDF
Release of Collateral Assignment PS2136 9/22
View PDF
Request for Change of Servicing Representative DCC369 12/24
View PDF
Request for Registration as a RRSP PS341 9/22
View PDF
Residual Income Loss – Current Earnings Statement CL383 9/23
View PDF
Residual Income Loss Prior Earnings Statement CL356 9/23
View PDF
Respiratory (Asthma) Questionnaire UW-RESPQ347 9/22
View PDF
Scuba Diving Questionnaire UW-SCUQ395 9/22
View PDF
Segregated Funds Products Fund Code Chart IP1490 6/23
View PDF
Seizure Questionnaire UW-SEIZQ349 9/22
View PDF
Simply Guaranteed Life and Simplified Life Product Guide LP2227 11/25
View PDF
Single Premium Immediate Annuity (SPIA) Application IP-NB151
View PDF
Smoking and/or Tobacco Questionnaire UW-SMOKQ376
View PDF
Statement of Persons Insured under Family Insurance Rider CL578 9/22
View PDF
Summary of ivari’s segregated funds IP1371 3/20
View PDF
Supplemental Health Questionnaire for the Insurance Application LP-HS2126
View PDF
Supplementary Statement of Disability CL335 9/23
View PDF
Termination of Assignment DCC854
View PDF
TermSelect Rate Guide LP471 10/23
View PDF
Transfer from a Registered Qualified Policy to an imaxxGIF Contract IP1212 9/23
View PDF
Transfer from a Registered Qualified Policy to an imaxxGIF Contract – Electronic Kit IP903T 12/21
View PDF
Transfer from a Registered Qualified Policy to an ImaxxGIF Contract – Product Comparison Chart IP1281 12/21
View PDF
Transfer of Ownership – Investment products IP1270 9/23
View PDF
Unclaimed Property Request LP-IP1451 9/23
View PDF
Underwriting Height and Weight Chart LP1403 11/23
View PDF
Underwriting requirements chart for Critical Illness policy changes LP1662 1/19
View PDF
Universal Life Fund Code Chart LP946 10/24
View PDF
Valid industries and occupations IP-LP1971 9/22
View PDF
Variable Investment Options (VIO) & General Interest Options (GIO) Universal Life Fund Code Chart LP946C 12/24
View PDF
PDF quick tips

PDF quick tips

Download the PDF form to your device and open it with Adobe Reader before filling it out. Completing a form in your browser can cause errors or lose your information.

Need Adobe Reader? Get it free here.

My forms

  • All forms
  • Frequently used forms
  • All advisor forms
  • All client forms

All forms

Can't find the form you need? Click here to view all available forms.

Add to / remove from My forms
Client form
Secured file

Sign your form and upload it with the Send Documents tool. Make sure your signature closely matches ours for faster processing.

Title ↕ Form number ↕ Revision date ↕ Link
“In Good Order” (IGO) Transaction Guidelines – Investment Products Operations Administrative Guide IP59 9/23
View PDF
“In Good Order” (IGO) Transaction Guidelines – Life Operations Administrative Guide LP1352 9/23
View PDF
“In Good Order” (IGO) Transaction Guidelines for WFG – Life Operations Administrative Guide WFG-LP2152 9/23
View PDF
Activities (Ongoing) Questionnaire CL2141 9/22
View PDF
Activities Questionnaire CL2140 9/22
View PDF
Advisor Screening Questionnaire DCC1698 9/23
View PDF
Affidavit IV1783 9/22
View PDF
Alcohol Usage Questionnaire UW-ALCQ377 9/22
View PDF
Allocation Form PS425 9/23
View PDF
Amendment between ivari and Broker DCC546 9/23
View PDF
Application to Exercise Purchase Option Rider PC1771 9/23
View PDF
Assignment DCC853 9/22
View PDF
Attending Physician’s Statement of Continuing Disability CL1676 9/23
View PDF
Aviation/Ultralight/Ballooning/Hang Gliding Questionnaire UW-AVIQ312 9/22
View PDF
Broker’s Contract DCC521 9/23
View PDF
Broker’s Contracting Kit DCC1514 6/25
View PDF
Certificate of Incumbency IP-LP1572 9/23
View PDF
Certificate of Incumbency – Fillable form DCC1137 9/22
View PDF
Change of Beneficiary Form PS367 9/23
Complete online View PDF
Claimant’s Statement (for Investment Products) CL766 9/23
View PDF
Claimant’s Statement (Life Insurance Claim) CL213 9/23
View PDF
Code of Ethical Market Conduct DCC1388 5/25
View PDF
Collateral Assignment PS391 9/23
View PDF
Compassionate Assistance Program – Attending Physician’s Statement CL1724 9/22
View PDF
Confidential Business Financial Questionnaire UW-BFINQ361 9/22
View PDF
Confidential Personal Financial Questionnaire UW-PFINQ362 9/22
View PDF
Confirmation of Compliance by Financial Institution Locked-in Pension Funds IP533 9/22
View PDF
Contact Information Change IV1527 9/23
Complete online View PDF
Contingent Owner PS373 9/23
View PDF
Contract Requirements and/or Transfer Request DCC358 10/25
View PDF
Conversion Application LP1285 9/24
View PDF
Convert a Registered Retirement Income Fund (RRIF) to a Registered Retirement Savings Plan (RRSP) IP1119 9/23
View PDF
Corporate/Non-Corporate Entity/Trust Ownership IP-LP1166 9/23
View PDF
Critical Illness Attending Physician’s Statement CL1476 9/23
View PDF
Critical Illness Claimant’s Statement CL1477 9/23
View PDF
CriticalADVANTAGE Claimant’s Statement CL1007 9/23
View PDF
Dealer/Nominee Transfer Form IP1186 9/23
View PDF
Declaration of tax residency for an entity IP-LP1601 9/23
View PDF
Direct Deposit Information DCC290 4/23
View PDF
Drug usage questionnaire UW-DRUGQ378 9/22
View PDF
Education, Training and Experience Questionnaire CL2142 9/22
View PDF
Electronic Funds Transfer (EFT) for express invoice payment CL2139 9/23
View PDF
Employer’s Statement Questionnaire CL2143 9/22
View PDF
Financial Service Form IP416 1/25
View PDF
Five for Life Fund Code Chart IP1348 6/23
View PDF
Foreign Death Questionnaire CL1720 2/24
View PDF
Foreign Travel Questionnaire UW-FTQ399 9/22
View PDF
GROWSafe (GS) / GROWSafe2 (GS2) Fund Code Chart IP1372 6/23
View PDF
GROWSafe3 (GS3) Fund Code Chart IP653 6/23
View PDF
Identity and Third Party Determination IP-LP782 9/23
View PDF
imaxx Guaranteed Investment Funds Application IP881 12/24
View PDF
imaxx Guaranteed Investment Funds Information Folder IP882 12/24
View PDF
imaxxGIF Fund Code Chart IP884 6/23
View PDF
Information organizer LP1750 6/24
View PDF
Initial Attending Physician’s Statement CL1008 9/23
View PDF
Insurance Application LP257 4/25
View PDF
Insured’s Request for Living Benefits CL1725 9/23
View PDF
Insured’s Request for Compassionate Assistance Benefit CL2111 9/23
View PDF
Insured’s Statement for Disability and Waiver Claim CL1009 9/23
View PDF
Investment Managers Series (IMS) III Fund Base Guarantee* form IP1292 9/23
View PDF
Investment Objectives & Segregated Fund Options IP1478 9/15
View PDF
Investor profile questionnaire LP1402 11/21
View PDF
Investor profile questionnaire – WFG advisors WFG-LP1222 11/21
View PDF
ivari Guaranteed Investment Funds – Fund code chart IP1347 6/23
View PDF
ivari’s non face-to-face application guidelines IV1616 9/22
View PDF
ivari’s non-face-to-face insurance application guidelines – WFG advisors WFG2012 9/21
View PDF
ivari’s Underwriting Requirements – Life Insurance Products & Critical Illness Protection Riders LP2027 9/25
View PDF
ivari’s Underwriting Requirements Chart for Life Policy Changes LP1416 2/22
View PDF
Job Analysis CL1464 9/22
View PDF
Limited Power of Attorney – ivari Investment Product Contracts IP177 9/23
View PDF
Limited Power of Attorney – Life Products LP183 9/23
View PDF
Managing Broker’s Contracting Kit DCC1515 9/23
View PDF
Market Intermediary Agreement DCC522 9/23
View PDF
Market Intermediary Agreement (MIA) Kit DCC1513 9/23
View PDF
Martial Arts & Combat Sports Questionnaire UW-MARTSQ1880 9/22
View PDF
Medical Authorization UW-LP1094 9/22
View PDF
Motor Vehicle Authorization (Alberta) MVR-AB
View PDF
Motor Vehicle Authorization Form (British Columbia) MVR-BC
View PDF
Motor Vehicle Authorization Form (Manitoba) MVR-MB
View PDF
Motor Vehicle Authorization Form (Northwest Territories) MVR-NT
View PDF
Motor Vehicle Authorization Form (Quebec) MVR-QC
View PDF
Motor Vehicle Authorization Form (Saskatchewan) MVR-SK
View PDF
Motor Vehicle Authorization Form (Yukon) MVR-YT
View PDF
Motor Vehicle Authorization Form & Letter (Nunavut) MVR-NV
View PDF
Motorized Vehicle Questionnaire UW-DRIVQ379 9/22
View PDF
Motorized Vehicle Racing Questionnaire UW-RACEQ401 9/22
View PDF
Mountaineering Questionnaire UW-MTNQ398 9/22
View PDF
Nervous Disorder Questionnaire UW-NERVQ346 9/22
View PDF
NN IP Segregated Funds Products Fund Code Chart IP1373 6/23
View PDF
Non-Financial Service Form for Existing Clients Only IP426 9/23
View PDF
Notice of Cancellation Movable Hypothec without Delivery (Québec) PS2137 9/23
View PDF
Notice of Movable Hypothec without Delivery (Québec) PS1462 9/23
View PDF
Notice of Transfer of Ownership for Insurance Products PS371 2/26
Complete online View PDF
Overhead Expense Application Supplement Download PC1772 9/22
View PDF
Parachuting/Sky Diving Questionnaire UW-PARAQ394 9/22
View PDF
Paramedical Examination Report UW-LP40 7/22
View PDF
Physician’s Statement Proof of Death CL990 9/22
View PDF
Plan Type Registration Change IP421 1/25
View PDF
Policy Change Application LP386 4/25
View PDF
Policy Ownership for Corporate & Non-Corporate Entities or Trusts IP-LP1747 9/23
View PDF
Policy Service Application PS339 9/23
Complete online View PDF
Politically Exposed Persons and Head of International Organization IP-LP1165 9/23
View PDF
Politically Exposed Persons and Head of International Organization for Claims – For beneficiary use only CL2110 9/23
View PDF
Pre-Authorized Debit (PAD) for Insurance Products PS375 9/23
Complete online View PDF
Pre-Disability Self Employed Profile CL1465 9/23
View PDF
prosperity Guaranteed Life and prosperity Simplified Life Product Guide WFG2228 12/25
View PDF
prosperity term Rate Guide – for WFG WFG-LP1296 10/23
View PDF
prosperity Universal Life Fund Code Chart – WFG advisors WFG-LP1779 10/24
View PDF
Questions to be Posed when a Spouse Claims as Beneficiary CL580 9/22
View PDF
Reinstatement and non-smoker change application for Guaranteed and Simplified policies LP1990 6/25
View PDF
Release of Collateral Assignment PS2136 9/22
View PDF
Request for Change of Servicing Representative DCC369 12/24
View PDF
Request for Registration as a RRSP PS341 9/22
View PDF
Residual Income Loss – Current Earnings Statement CL383 9/23
View PDF
Residual Income Loss Prior Earnings Statement CL356 9/23
View PDF
Respiratory (Asthma) Questionnaire UW-RESPQ347 9/22
View PDF
Scuba Diving Questionnaire UW-SCUQ395 9/22
View PDF
Segregated Funds Products Fund Code Chart IP1490 6/23
View PDF
Seizure Questionnaire UW-SEIZQ349 9/22
View PDF
Simply Guaranteed Life and Simplified Life Product Guide LP2227 11/25
View PDF
Single Premium Immediate Annuity (SPIA) Application IP-NB151
View PDF
Smoking and/or Tobacco Questionnaire UW-SMOKQ376
View PDF
Statement of Persons Insured under Family Insurance Rider CL578 9/22
View PDF
Summary of ivari’s segregated funds IP1371 3/20
View PDF
Supplemental Health Questionnaire for the Insurance Application LP-HS2126
View PDF
Supplementary Statement of Disability CL335 9/23
View PDF
Termination of Assignment DCC854
View PDF
TermSelect Rate Guide LP471 10/23
View PDF
Transfer from a Registered Qualified Policy to an imaxxGIF Contract IP1212 9/23
View PDF
Transfer from a Registered Qualified Policy to an imaxxGIF Contract – Electronic Kit IP903T 12/21
View PDF
Transfer from a Registered Qualified Policy to an ImaxxGIF Contract – Product Comparison Chart IP1281 12/21
View PDF
Transfer of Ownership – Investment products IP1270 9/23
View PDF
Unclaimed Property Request LP-IP1451 9/23
View PDF
Underwriting Height and Weight Chart LP1403 11/23
View PDF
Underwriting requirements chart for Critical Illness policy changes LP1662 1/19
View PDF
Universal Life Fund Code Chart LP946 10/24
View PDF
Valid industries and occupations IP-LP1971 9/22
View PDF
Variable Investment Options (VIO) & General Interest Options (GIO) Universal Life Fund Code Chart LP946C 12/24
View PDF

Frequently used forms

Add to / remove from My forms
Client form
Secured file

Sign your form and upload it with the Send Documents tool. Make sure your signature closely matches ours for faster processing.

Title ↕ Form number ↕ Revision date ↕ Link
Allocation Form PS425 9/23
View PDF
Change of Beneficiary Form PS367 9/23
Complete online View PDF
Claimant’s Statement (Life Insurance Claim) CL213 9/23
View PDF
Contact Information Change IV1527 9/23
Complete online View PDF
Conversion Application LP1285 9/24
View PDF
Financial Service Form IP416 1/25
View PDF
Identity and Third Party Determination IP-LP782 9/23
View PDF
Insurance Application LP257 4/25
View PDF
ivari’s Underwriting Requirements – Life Insurance Products & Critical Illness Protection Riders LP2027 9/25
View PDF
Notice of Transfer of Ownership for Insurance Products PS371 2/26
Complete online View PDF
Policy Change Application LP386 4/25
View PDF
Policy Ownership for Corporate & Non-Corporate Entities or Trusts IP-LP1747 9/23
View PDF
Policy Service Application PS339 9/23
Complete online View PDF
Politically Exposed Persons and Head of International Organization IP-LP1165 9/23
View PDF
Pre-Authorized Debit (PAD) for Insurance Products PS375 9/23
Complete online View PDF
Request for Change of Servicing Representative DCC369 12/24
View PDF
Universal Life Fund Code Chart LP946 10/24
View PDF

All advisor forms

Add to / remove from My forms
Client form
Secured file

Sign your form and upload it with the Send Documents tool. Make sure your signature closely matches ours for faster processing.

Title ↕ Form number ↕ Revision date ↕ Link
“In Good Order” (IGO) Transaction Guidelines – Investment Products Operations Administrative Guide IP59 9/23 View PDF
“In Good Order” (IGO) Transaction Guidelines – Life Operations Administrative Guide LP1352 9/23 View PDF
“In Good Order” (IGO) Transaction Guidelines for WFG – Life Operations Administrative Guide WFG-LP2152 9/23 View PDF
Advisor Screening Questionnaire DCC1698 9/23 View PDF
Alcohol Usage Questionnaire UW-ALCQ377 9/22 View PDF
Amendment between ivari and Broker DCC546 9/23 View PDF
Assignment DCC853 9/22 View PDF
Aviation/Ultralight/Ballooning/Hang Gliding Questionnaire UW-AVIQ312 9/22 View PDF
Broker’s Contract DCC521 9/23 View PDF
Broker’s Contracting Kit DCC1514 6/25 View PDF
Certificate of Incumbency – Fillable form DCC1137 9/22 View PDF
Code of Ethical Market Conduct DCC1388 5/25 View PDF
Confidential Business Financial Questionnaire UW-BFINQ361 9/22 View PDF
Confidential Personal Financial Questionnaire UW-PFINQ362 9/22 View PDF
Contract Requirements and/or Transfer Request DCC358 10/25 View PDF
Conversion Application LP1285 9/24 View PDF
Convert a Registered Retirement Income Fund (RRIF) to a Registered Retirement Savings Plan (RRSP) IP1119 9/23 View PDF
Direct Deposit Information DCC290 4/23 View PDF
Drug usage questionnaire UW-DRUGQ378 9/22 View PDF
Foreign Travel Questionnaire UW-FTQ399 9/22 View PDF
imaxx Guaranteed Investment Funds Application IP881 12/24 View PDF
Information organizer LP1750 6/24 View PDF
Insurance Application LP257 4/25 View PDF
Investor profile questionnaire LP1402 11/21 View PDF
ivari’s non face-to-face application guidelines IV1616 9/22 View PDF
ivari’s non-face-to-face insurance application guidelines – WFG advisors WFG2012 9/21 View PDF
ivari’s Underwriting Requirements – Life Insurance Products & Critical Illness Protection Riders LP2027 9/25 View PDF
ivari’s Underwriting Requirements Chart for Life Policy Changes LP1416 2/22 View PDF
Managing Broker’s Contracting Kit DCC1515 9/23 View PDF
Market Intermediary Agreement DCC522 9/23 View PDF
Market Intermediary Agreement (MIA) Kit DCC1513 9/23 View PDF
Martial Arts & Combat Sports Questionnaire UW-MARTSQ1880 9/22 View PDF
Medical Authorization UW-LP1094 9/22 View PDF
Motor Vehicle Authorization (Alberta) MVR-AB View PDF
Motor Vehicle Authorization Form (British Columbia) MVR-BC View PDF
Motor Vehicle Authorization Form (Manitoba) MVR-MB View PDF
Motor Vehicle Authorization Form (Northwest Territories) MVR-NT View PDF
Motor Vehicle Authorization Form (Quebec) MVR-QC View PDF
Motor Vehicle Authorization Form (Saskatchewan) MVR-SK View PDF
Motor Vehicle Authorization Form (Yukon) MVR-YT View PDF
Motor Vehicle Authorization Form & Letter (Nunavut) MVR-NV View PDF
Motorized Vehicle Questionnaire UW-DRIVQ379 9/22 View PDF
Motorized Vehicle Racing Questionnaire UW-RACEQ401 9/22 View PDF
Mountaineering Questionnaire UW-MTNQ398 9/22 View PDF
Nervous Disorder Questionnaire UW-NERVQ346 9/22 View PDF
Parachuting/Sky Diving Questionnaire UW-PARAQ394 9/22 View PDF
Paramedical Examination Report UW-LP40 7/22 View PDF
prosperity Guaranteed Life and prosperity Simplified Life Product Guide WFG2228 12/25 View PDF
Respiratory (Asthma) Questionnaire UW-RESPQ347 9/22 View PDF
Scuba Diving Questionnaire UW-SCUQ395 9/22 View PDF
Seizure Questionnaire UW-SEIZQ349 9/22 View PDF
Simply Guaranteed Life and Simplified Life Product Guide LP2227 11/25 View PDF
Single Premium Immediate Annuity (SPIA) Application IP-NB151 View PDF
Smoking and/or Tobacco Questionnaire UW-SMOKQ376 View PDF
Supplemental Health Questionnaire for the Insurance Application LP-HS2126 View PDF
Termination of Assignment DCC854 View PDF
Transfer from a Registered Qualified Policy to an imaxxGIF Contract – Electronic Kit IP903T 12/21 View PDF
Underwriting Height and Weight Chart LP1403 11/23 View PDF
Underwriting requirements chart for Critical Illness policy changes LP1662 1/19 View PDF

All client forms

Add to / remove from My forms
Client form
Secured file

Sign your form and upload it with the Send Documents tool. Make sure your signature closely matches ours for faster processing.

Title ↕ Form number ↕ Revision date ↕ Link
Activities (Ongoing) Questionnaire CL2141 9/22
View PDF
Activities Questionnaire CL2140 9/22
View PDF
Affidavit IV1783 9/22
View PDF
Allocation Form PS425 9/23
View PDF
Application to Exercise Purchase Option Rider PC1771 9/23
View PDF
Attending Physician’s Statement of Continuing Disability CL1676 9/23
View PDF
Certificate of Incumbency IP-LP1572 9/23
View PDF
Change of Beneficiary Form PS367 9/23
Complete online View PDF
Claimant’s Statement (for Investment Products) CL766 9/23
View PDF
Claimant’s Statement (Life Insurance Claim) CL213 9/23
View PDF
Collateral Assignment PS391 9/23
View PDF
Compassionate Assistance Program – Attending Physician’s Statement CL1724 9/22
View PDF
Confirmation of Compliance by Financial Institution Locked-in Pension Funds IP533 9/22
View PDF
Contact Information Change IV1527 9/23
Complete online View PDF
Contingent Owner PS373 9/23
View PDF
Corporate/Non-Corporate Entity/Trust Ownership IP-LP1166 9/23
View PDF
Critical Illness Attending Physician’s Statement CL1476 9/23
View PDF
Critical Illness Claimant’s Statement CL1477 9/23
View PDF
CriticalADVANTAGE Claimant’s Statement CL1007 9/23
View PDF
Dealer/Nominee Transfer Form IP1186 9/23
View PDF
Declaration of tax residency for an entity IP-LP1601 9/23
View PDF
Education, Training and Experience Questionnaire CL2142 9/22
View PDF
Electronic Funds Transfer (EFT) for express invoice payment CL2139 9/23
View PDF
Employer’s Statement Questionnaire CL2143 9/22
View PDF
Financial Service Form IP416 1/25
View PDF
Five for Life Fund Code Chart IP1348 6/23
View PDF
Foreign Death Questionnaire CL1720 2/24
View PDF
GROWSafe (GS) / GROWSafe2 (GS2) Fund Code Chart IP1372 6/23
View PDF
GROWSafe3 (GS3) Fund Code Chart IP653 6/23
View PDF
Identity and Third Party Determination IP-LP782 9/23
View PDF
imaxx Guaranteed Investment Funds Information Folder IP882 12/24
View PDF
imaxxGIF Fund Code Chart IP884 6/23
View PDF
Initial Attending Physician’s Statement CL1008 9/23
View PDF
Insured’s Request for Living Benefits CL1725 9/23
View PDF
Insured’s Request for Compassionate Assistance Benefit CL2111 9/23
View PDF
Insured’s Statement for Disability and Waiver Claim CL1009 9/23
View PDF
Investment Managers Series (IMS) III Fund Base Guarantee* form IP1292 9/23
View PDF
Investment Objectives & Segregated Fund Options IP1478 9/15
View PDF
Investor profile questionnaire – WFG advisors WFG-LP1222 11/21
View PDF
ivari Guaranteed Investment Funds – Fund code chart IP1347 6/23
View PDF
Job Analysis CL1464 9/22
View PDF
Limited Power of Attorney – ivari Investment Product Contracts IP177 9/23
View PDF
Limited Power of Attorney – Life Products LP183 9/23
View PDF
NN IP Segregated Funds Products Fund Code Chart IP1373 6/23
View PDF
Non-Financial Service Form for Existing Clients Only IP426 9/23
View PDF
Notice of Cancellation Movable Hypothec without Delivery (Québec) PS2137 9/23
View PDF
Notice of Movable Hypothec without Delivery (Québec) PS1462 9/23
View PDF
Notice of Transfer of Ownership for Insurance Products PS371 2/26
Complete online View PDF
Overhead Expense Application Supplement Download PC1772 9/22
View PDF
Physician’s Statement Proof of Death CL990 9/22
View PDF
Plan Type Registration Change IP421 1/25
View PDF
Policy Change Application LP386 4/25
View PDF
Policy Ownership for Corporate & Non-Corporate Entities or Trusts IP-LP1747 9/23
View PDF
Policy Service Application PS339 9/23
Complete online View PDF
Politically Exposed Persons and Head of International Organization IP-LP1165 9/23
View PDF
Politically Exposed Persons and Head of International Organization for Claims – For beneficiary use only CL2110 9/23
View PDF
Pre-Authorized Debit (PAD) for Insurance Products PS375 9/23
Complete online View PDF
Pre-Disability Self Employed Profile CL1465 9/23
View PDF
prosperity term Rate Guide – for WFG WFG-LP1296 10/23
View PDF
prosperity Universal Life Fund Code Chart – WFG advisors WFG-LP1779 10/24
View PDF
Questions to be Posed when a Spouse Claims as Beneficiary CL580 9/22
View PDF
Reinstatement and non-smoker change application for Guaranteed and Simplified policies LP1990 6/25
View PDF
Release of Collateral Assignment PS2136 9/22
View PDF
Request for Change of Servicing Representative DCC369 12/24
View PDF
Request for Registration as a RRSP PS341 9/22
View PDF
Residual Income Loss – Current Earnings Statement CL383 9/23
View PDF
Residual Income Loss Prior Earnings Statement CL356 9/23
View PDF
Segregated Funds Products Fund Code Chart IP1490 6/23
View PDF
Statement of Persons Insured under Family Insurance Rider CL578 9/22
View PDF
Summary of ivari’s segregated funds IP1371 3/20
View PDF
Supplementary Statement of Disability CL335 9/23
View PDF
TermSelect Rate Guide LP471 10/23
View PDF
Transfer from a Registered Qualified Policy to an imaxxGIF Contract IP1212 9/23
View PDF
Transfer from a Registered Qualified Policy to an ImaxxGIF Contract – Product Comparison Chart IP1281 12/21
View PDF
Transfer of Ownership – Investment products IP1270 9/23
View PDF
Unclaimed Property Request LP-IP1451 9/23
View PDF
Universal Life Fund Code Chart LP946 10/24
View PDF
Valid industries and occupations IP-LP1971 9/22
View PDF
Variable Investment Options (VIO) & General Interest Options (GIO) Universal Life Fund Code Chart LP946C 12/24
View PDF

ivari logo

P.O. Box 4241, Station A
Toronto, ON M5W 5R3

416-883-5000 . Telephone
1-800-846-5970 . Toll free
[email protected]

Quick links icon

Quick Links

  • Sitemap
  • Careers
  • Accessibility
  • Contact us
  • Address change
  • ivari customer complaint handling process
  • Reporting improper conduct
Legal icon

Legal

  • Terms of use
  • Privacy policy
  • Privacy Policy for Distributors
  • Unclaimed property
Social icon

Social

Facebook logo
Instagram icon
LinkedIn icon
Assuris Logo

ivari is a member of Assuris. Assuris is the not for profit organization that protects Canadian policyholders in the unlikely event that their life and health insurance company fails. Details about Assuris protection are available at www.assuris.ca.

Droits d’auteur © 2026, ivari Holdings Inc. Tous droits réservés.

X