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IMPORTANT GUIDELINES - Personal Insurance - …

IMPORTANT GUIDELINES . This application is for Term 10, Term 20, Term 100 and Universal Life Insurance , and available benefits and riders. DO NOT use for Critical Illness, Disability or Long Term Care. Print legibly in blue or black ink. DO NOT make erasures or use liquid paper. DO NOT use ditto marks. Stroke out an error and have the applicant initial it. The application is a legal document forming part of the policy contract. Money may only be collected at the time of application completion or upon delivery of the policy. The application, Temporary Insurance Agreement receipt and any payment must all be dated with the same date. If applying for joint coverage (first or last to die), term riders and/or a payor waiver (on a different insured than the one in this application), use a separate application for each insured and cross reference the applications to each other. The minimum legal age is 16 years except in Quebec where it is 18 years.

VPS 95812 80788 (05/2016) IMPORTANT GUIDELINES This application is for Term 10, Term 20, Term 100 and Universal Life Insurance, and available benefits and riders.

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