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Fracture
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Individual Insurance
questionnaire-financier-fr-humania
4300-013
Authorization
4100-011
Irrevocable Beneficiary Designation (For Nova Scotia)
4100-019
Absolute Assignment
4100-038
Request for cash surrender value
4100-500
Tobacco use Questionnaire
4100-501
Gastrointestinal disorder Questionnaire
4100-502
Diabetes Questionnaire
4100-505
Musculoskeletal disorders questionnaire
4100-506
Respiratory disorder questionnaire
4100-507
Loss of consciousness questionnaire
4100-508
Concussion, skull fracture head injury questionnaire
4100-509
Aviation questionnaire
4100-510
Racing questionnaire
4100-512
Automobile driving Questionnaire
4100-513
Drug use questionnaire
4100-515
Chest pain Questionnaire
4100-516
Skydiving and hand gliding questionnaire
4100-517
Scuba diving questionnaire
4100-518
Questionnaire relatif aux courses de motoneiges (french only)
4300-001
Notice of return to work
4300-025
Overhead Expenses Claim Form Insurance Select Plus/Paie
4300-030
Critical illness Child insurance - Initial statement
4300-047
Critical Illness Insurance Confidential Physician’s Report (Cancer)
4300-059
Subrogated Policy Owner Designation
4300-119
Authorization for disclosure of information Personnal record
4400-014
Brochure Survidor (french only)
4300-084
Dental claim form
4300-031
Compassionate leave benefit - Critical illness
4100-039
Re-Assignment
4300-083
Claim form Medical and paramedical fees
4300-123
Authorization for disclosure of information Personnal record
4300-126
British Columbia - Authorization for disclosure of information Personnal record
4100-018
Pre-authorized debit agreement
4100-022
Notice of change of address
6050-049
Children360 Insurance - Horizontal flyer
4400-022
Term Critical Illness Insurance
4400-055
P.A.G.E. hospitalization - Flyer
4400-063
Critical Illness - Insurance Without Medical Exam - Flyer
4400-105
PAGE - Flyer
4300-048
Critical Illness Physician's Statement (stroke)
4300-044
Critical Illness Physician's Statement (heart attack)
4300-066
Critical Illness Physician's Statement (deafness)
4300-061
Critical Illness Physician's Statement (autism)
4300-060
Critical Illness Physician's Statement (multiple sclerosis)
4300-046
Critical Illness Physician's Statement (coronary artery bypass surgery)
4400-066
Financial needs analysis - Life insurance
4300-125
Ontario - Third party request for personal information
4100-052
Determination of persons
4100-020
Assignment of the contract
4100-018-online
Pre-authorized debit agreement (online sales platforms)
4300-012
Claimant’s statement
4100-127
Pre-Authorized credit card agreement
4300-021
Physical illnesses Additional report
4300-021
Psychological illnesses Additional report
4400-058
Prohealth Cancer Insurance
4400-057
P.A.I.E. flyer
4400-044
P.A.I.R.E. flyer
4400-046
Children360 - Product Guide
4400-090
Prodige - Insured's guide
4400-082
Prodige - Dépliant (french only)
4300-057
Disability claim form - Initial assessment
4300-035
Statement in the Event of Dismemberment
4300-008
Claim form in case of dismemberment or total loss of use
4400-029
Street-Wise
4400-102
PAGE - Product Guide
4100-514
Nervous disorder Questionnaire
4100-503
Back pain Questionnaire
4400-056
P.A.I.R.E. - Product Guide
4300-124
Ministry of health and long-term care Request for Access to Personal information
4100-519
Financial Questionnaire
4100-504
Alcohol use Questionnaire
4300-118
Authorization to release information concerning a deceased insured person
4100-511
Foreign travel Questionnaire
4400-020
La Fracture Insurance Brochure
4400-009
Insurance Without Medical Exam - Flyer
4400-034
IWME - Product Guide
4300-016
Proof of death - Physician statement
6050-113
HuGO Insurance - Horizontal flyer
4400-083
HuGO Life - Product Guide
4100-009
Beneficiary Designation
4400-111
ASSURE-DEBT - Product Guide
4400-053
Assure-Debt Questions and answers
4300-054
Direct Deposit
4300-045
Claim Form for Critical Illness Insurance Benefit Proof of claim - Claimant’s Statement
4100-045
Declaration of insurability
4100-053
Disability, life and critical illness change application
4200-058
PDF Booklet Request Form
4400-002
Term Life Insurance - Product Guide
4400-013
Prohealth - Product Guide
4300-018
Authorization in the event of death
4100-042
Redating Request
4100-520
Questionnaire about climbing
4100-521
Questionnaire about epilepsy
4400-089
Prodige - Product Guide
4100-522
Sport Questionnaire
4400-167
AMG - Product Guide
4400-085
HuGO Preselection Guide
4400-072
Preselection Guide - Accident illness
Representative
6050-259
Multiple Policy and Family Discount
6050-216
Compliance Survey
4100-061
Authorization to release information
3200-037
Order Form Flyer
4100-124
P.A.G.E. - Insurance Application
4100-056
Application - Disability, Life and Critical Illness Insurance
4200-058
PDF Booklet Request Form
6050-208
Innovative web solutions
Others
2050-006
Complaint Form
4300-018
Authorization in the event of death
2050-004
Complaint Examination Policy
2050-007
4300-136-form-compassionate-care
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