Apply Online

February 29, 2012 by

Dear Applicant!

Welcome to our online application form. By now you have already seen a comparison of Insurance companies and their prices and decided on which policy to go with. Now we need to make sure that the application process goes as smoothly and quickly as possible.
HERE IS WHAT YOU CAN DO TO HELP:

1. Please answer the few questions below

2. When the nurse calls you, make the appointment at your convenience

3. If she is taking a blood sample, make sure that you eat healthy a few days before the appointment (don't load up on KFC, donuts and coffee the day before). This will help you get the best rates.

4. Sign and return the Insurance company signature form to your advisor emailed you, the underwriter needs your authorization to work on your file.

5. Keep in mind that there is no cost for you for all these services, and you will be able to see your policy contract before accepting it.


 Single Applicant     

 Two Applicant		    
    Applicant
Have you smoked cigarettes, cigars or any form of tobacco in the last 12 months?  
Are you taking prescription medication for any of the following:  
Have you applied at any other insurer in the last 2 years?  
How much life insurance do you have now

and what company? 
Do you engage in any dangerous sports

such as Scuba diving, parachuting
motorcycle racing, piloting aircraft? 
Has your drivers license been suspended

in the last 3 years?   
Are you a Canadian Citizen or Landed

Immigrant?    
Have you traveled outside of  NORTH

AMERICA (overseas)

in the last 2 years or do you plan to in the next 1

year?  
Have you ever had an application for

life insurance declined,
postponed, rated in any way?       
NOTES - Please elaborate on any "Yes answers" 
   
APPLICANT DATA
First name Initial Last Name
Date of birth     Country of Birth
Occupation     Employer
Beneficiary name     Relationship
Drivers License number (or other ID such as Passport,

citizenship or birth certificate number 
Please tell us about the coverage you have chosen
Which Insurance Company have you chosen? 
What amount of Insurance?
What term?  

 

Mailing Address City
Province
Email

address 

 Postal Code 
Phone number
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-


 		 Other phone 
-

-

 

PS * rest assured that any information you provide will be kept strictly confidential and we will not share it with anyone besides the Insurer!

 

 

 
Filed Under: Uncategorized
About Ned Vedo, Independent Insurance Broker

 
Ned has been a life insurance broker and financial advisor for over 20 years. He is the owner of www.LifeInsuranceQuoteShop.com, an online insurance quotation website. Ned believes that before you even talk to an agent, you should do your due diligence and research on the available insurance companies and their prices. The "best rate calculator" will allow you to do that, and instantly display all compaines and priceing, so you can make a better decision.