1. Personal Accident Insurance Application – New Business
2. Personal Accident Insurance Application – Renewal
3. For claim forms click here:  How to Claim – Personal Accident

1. Personal Accident and/or Sickness Insurance Application – New Business
2. Personal Accident and/or Sickness Insurance Application – Renewal
3. Medical Examiner’s Report
4. Declaration of Health Form
5. For claim forms and info click here How to Claim – Disability

Professional Sports Disability Insurance Forms

1. Sports Application Form and Medical Examiner’s Report – New and Renewal
2. Exclusion Review Form – Sports Insurance
3. Concussion Questionnaire – Physician
4. Concussion Questionnaire – Player
5. Declaration of Health Form
6. For claim forms and info click here: How to Claim – Disability for Professional Athletes

Major Medical Insurance Forms

1. Major Medical Insurance Application – New Business
2. Major Medical Insurance Application – Renewal
3. Medical Expense Claim Form
4. NHL Claim Form
5. NHL Dental Claim Form
6. For more claim forms and info click here: How to Claim – Major Medical

PASSPORT Benefit Package Forms

1. PASSPORT Benefit Program Insurance Application – New Business
2. PASSPORT Benefit Program Insurance Application – Renewal
3. Medical Examiner’s Report
4. For claim forms and info click one of the following:
        How to Claim – Disability
        How to Claim – Major Medical
        How to Claim – Personal Accident

LIFE INSURANCE FORMS:

For forms and information pertaining to this product, please contact:
Carol Graham, SVP, Sales & Marketing.


War Risk and Terrorism Forms

1. War Risk Only Application Form – New Business and Renewal

Note: This application is for stand-alone War Risk Only coverage. To be underwritten for 24-hour coverage including War Risk, complete only the application specific to the product i.e. Major Medical Application, Personal Accident Application etc.


Kidnap Ransom & Extortion Insurance Forms

1. Extortion Kidnap Ransom Application Form – Corporate New and Renewal
2. Extortion Kidnap Ransom Application Form – Individual / Family New and Renewal
3. Kidnap, Extortion & Illegal Detention - Crisis Response Procedure Guidelines
4. Click here for further information on: How to Claim – Kidnap Ransom & Extortion

Contingency Insurance Forms

1. Cancellation, Abandonment and Non-Appearance Insurance Application form
2. Hole-in-one Insurance Application Form
3. Death, Disgrace and Disfigurement Insurance Application Form
4. Litigation Delay Insurance Application Form
5. Prize Indemnity Insurance Application Form

Miscellaneous Forms

1. Declaration of Health Form
2. Fasting Full Blood Profile Components
3. Diabetic Questionnaire
4. Neck and Back Pain Questionnaire
5. Hazardous Occupations Questionnaire
6. Pilot History Questionnaire
7. Declaration for Voice-Related Occupations
8. Diving Questionnaire
9. Mountain Climbing Questionnaire
10. Motor Cycle Racing Questionnaire
11. Freestyle Motorcross Questionnaire