Application Forms
As an essential service, we continue adapting our services to meet your needs, securely, efficiently and as safely as we can for you and for our employees.
Please be advised that until further notice:
- All transactions or claims will be processed electronically;
- Contact your SISIP Advisor for guidance, ensuring they open a secure encrypted email stream;
- Our Client Service Centre at 1-800-267-6681 continues to be available during regular business hours (8 a.m. to 4:30 p.m. Eastern Time).
Application Forms
- 1E - Optional Group Term Insurance (OGTI) Form
- 10E - Insurance for Released Members (IRM) Form
- 21E - Reserve Term Insurance Plan (RTIP) Form
- 21OE - Reserve Force Optional Long Term Disability Coverage Form
- 21SI E - Simplified Issue Term Life Insurance Application Form
- 50E - Life Insurance Coverage Transfer Form
- 4932E - Critical Illness Insurance Application Form
- T100E - Term 100 Application Form
- Health Questionnaire - Details Section
Financial Counselling Forms
SISIP Financial Forms
- 4E - Separation / Reconciliation Declaration * - required for SIB policies only
- 6E - LTD Claim Package
- 7E - Claimant's Statement Regarding Death
- 8E - Attending Physician's Statement Regarding Death
- 9E - Leave Without Pay *
- 11E - Designation / Change of Beneficiary
- 11E Annex - Release of Beneficiary
- 12E & 13E - Accidental Dismemberment Claim (ADIP)
- 14E - Change of Smoking Status *
- 17E - Termination of Coverage
- 18E - General Officers' Insurance Plan, Reserve GOIP, and Military Post Retirement Life Insurance Pl
- 22E - Decrease of Coverage *
- 24E - Accidental Dismemberment Claim (OGTI, RTIP, CAR, IRM...)
- 43E - SDP Change of Payment Method Request
- 46E - Spousal Disability Claim Form (SDP)
MANULIFE Forms
- ML03E - CFSA Pension Deduction Authorization
- ML05E - Coverage After Release (CAR) Election *
- ML06E - Pre-Authorized Debit (PAD) Agreement
- ML08E - Attending Physician’s Statement (APS) Waiver of Life Insurance Premiums
- ML09E - Supplementary Attending Physician's Statement (APS) Long Term Disability
- ML10E - Long Term Disability (LTD) - Claimant Update
- ML11E - Waiver of Premiums - Claimant Statement
- ML12E - Authorization to Release Medical Information
- ML14E - Electronic Funds Transfer / Direct Deposit
- ML18E - Coverage After Release (CAR) / Insurance for Released Members (IRM) Exclusive Options *
- ML19E - Major Medical Supplementary Health Expense Claim
- ML47E - Claim for Advanced Benefit
