Forms

Forms

Adviser Use Only

Application forms.

  • Downloads
    8 item(s)
    • Child's application form
      PDF
      Download
    • Children's future insurability application form
      PDF
      Download
    • Application to increase cover
      PDF
      Download
    • Full application form
      PDF
      Download
    • Health declaration form
      PDF
      Download
    • Mortgage protector application form
      PDF
      Download
    • Life and accelerated short application form
      PDF
      Download
    • Application to add cover
      PDF
      Download

Declaration forms.

Direct debit forms.

Customer service forms.

  • Downloads
    10 item(s)
    • Cancellation form
      PDF
      Download
    • Change of name form
      PDF
      Download
    • Investment portfolio alteration form
      PDF
      Download
    • Memorandum of transfer form
      PDF
      Download
    • Nominated beneficiary form
      PDF
      Download
    • Non smoking declaration form
      PDF
      Download
    • Alteration request form
      PDF
      Download
    • Health declaration (previously called Policy revival form)
      PDF
      Download
    • Transfer of payment rights form
      PDF
      Download
    • Withdrawal Of transfer of payment rights form
      PDF
      Download

Underwriting & medical forms.

Claim forms.

  • Downloads
    6 item(s)
    • Certificate of non revocation of power of attorney form
      PDF
      Download
    • Consent to disclose information form - Customer
      PDF
      Download
    • Consent to disclose information form - Third party
      PDF
      Download
    • Continuing claim form (for ongoing Income protection claims)
      PDF
      Download
    • Medical certificate form (for ongoing Income protection claims)
      PDF
      Download
    • Hospitalisation claim form
      PDF
      Download

Group risk forms.

  • Downloads
    5 item(s)
    • Continuation option application form
      PDF
      Download
    • Group Medreport Terminal Illness Claims Form
      PDF
      Download
    • Group Medreport IP Claims Form
      PDF
      Download
    • Group Medreport TPD Claims Form
      PDF
      Download
    • Group Medreport Lumpsum Claims Form
      PDF
      Download

nib forms.