Ideal Segregated Funds - Signature Series
for savings & retirement income plans



To order quantities of printed forms, please contact your sales office. Sales offices can complete Request for Forms (PC BIL 3340) and fax it to us toll-free at 1 877 536-4666.

To sell Ideal Segregated Funds via FundSERV, a distributor set-up package must be completed. This is not required for manual processing. For more information, please contact your sales office.

Forms


Name
Additional Deposit Form NEW
PC 6852-Fillable
TFSA – Application for your Ideal Segregated Funds – Signature Series Contract 6463-Fillable
Application for your Ideal Segregated Funds – Signature Series Contract (client name accounts) 6415 - Fillable
Fillable application Instructions - Ideal Segregated Funds - Signature Series 6415 - Instructions
Application for Nominee Accounts PC 4294-Fillable
Ideal Segregated Fund Information Folder - Signature Series 6414
Client Identification Supplementary Information PC 6330
Confirmation of Compliance by Administrator/Transferee PC 1850
Registered Savings Plan to Retirement Income Plan Transfer Form PC 6080
Reset of your Maturity Guarantee Value - Ideal Segregated Funds – Signature Series PC 6494
Policy holder Investment Authorization
(For Resets of the Ideal Segregated Fund Guarantees)
PC 6267
Transfer authorization for registered investments
(RSP, LRSP, LIRA, RIF, LIF, TFSA LRIF, RLIF, RLSP, PRIF)
PC 6511
Third Party Determination PC 5097
Gradual Inheritance Concept (Flyer and application form) 6544-fillable
Pre-Authorized Debit (PAD) Agreement PC 2010-Fillable
Limited Trading Authorization 6805-fillable
Switch form for Ideal Income NEW PC 6920-fillable
Qualifying Recognised Overseas Pension Schemes (QROPS) New
United Kingdom (UK) pension transactions
6870

LIRA / LRSP policies

Provide the Policyholder with the appropriate endorsement as follows:

Province
Alberta Form 1
British Columbia PC 2577
Manitoba

Forms:

Form 1701 - Spouse's/Common-Law Partner's Declaration to give up Minimum 66²/3% Joint and Survivor Pension from RPPs, LIRAs, LIFs and LRIFs. Must be signed by spouse before money can be transferred to a LIRA policy. Submit the waiver form with the application.

Forms for Unlocking due to Shortened Life Expectancy:

Form 5 – Waiver of 60% Joint Pension Entitlement for Pension Plan or Locked-in Retirement Account
Form 7 – Consent to Withdraw from LIRA, LIF or LRIF due to Terminal Illness or Disability
PC 6862



Form 1701







Form 5

Form 7
New Brunswick PC 2580
Newfoundland & Labrador PC 2977
Nova Scotia PC 2579
Ontario

Forms:

Form 4.1 - Waiver of Survivor’s Benefit from an Ontario Locked-in Account. Must be signed by spouse before money can be transferred to a LIRA policy. Submit the waiver form with the application.

Form 5.0 - Application to Withdraw or Transfer Money from an Ontario Locked-in Account

Forms for Unlocking due to Financial Hardship :

Form 6 – Financial Hardship Application for 2011
Form 6.1 – Low Income Financial Hardship Application for 2011
PC 2583



Form 4.1



Form 5.0




Form 6
Form 6.1
Quebec PC 2631
Saskatchewan PC 2578
Federal (PBSA) PC 2969
Required Forms for Unlocking due to Financial Hardship:
Form 1 - Attestation Regarding Withdrawal Based on Financial Hardship and
Form 1
Form 2 - Attestation(s) Regarding Spouse/Common-Law Partner Form 2
Federal - Restricted Locked-in Savings Plan PC 6413
Required Forms for Unlocking due to a Small Balance: Form 2 - Attestation(s) Regarding Spouse/Common-Law Partner and Form 2
Form 3 - Attestation of Total Amount Held in Federally Regulated Locked-in Plans
Form 3
Required Forms for Unlocking due to Financial Hardship:
Form 1 - Attestation Regarding Withdrawal Based on Financial Hardship and
Form 1
Form 2 - Attestation(s) Regarding Spouse/Common-Law Partner Form 2

LIF policies

Provide the Policyholder with the appropriate endorsement as follows:

Province
Alberta

Required form - Form 6 - Pension Partner's Declaration to Give Up Minimum 60% Joint and Survivor Pension External site (annuity). Must be signed by spouse before money can be transferred to a LIF policy. Submit the consent form with the application.

Form 2
British Columbia

Required form - Form 3 - Spouse's Consent to Transfer Locked-in Pension Funds to a LIF policy External site. Must be signed by spouse before money can be transferred to a LIF policy. Submit the consent form with the application.

PC 2804
Manitoba

Forms:

Form 4 - Consent to One-time Transfer of Manitoba Locked-in Money

Request to Superintendent of Pensions for Written Notice

Form 1701 - Spouse's/Common-Law Partner's Declaration to give up Minimum 66²/3% Joint and Survivor Pension from RPPs, LIRAs, LIFs and LRIFs. Must be signed by spouse before money can be transferred to a LIF policy. Submit the waiver form with the application.

Application for a One-time Transfer

Form for Unlocking due to Shortened Life Expectancy:

Form 7 – Consent to Withdraw from LIRA, LIF or LRIF due to Terminal Illness or Disability
PC 6863



Form 4

Form

Form 1701





PC 5727



Form 7
New Brunswick PC 2957
Newfoundland & Labrador PC 2941
Nova Scotia PC 2958
Ontario

Forms:

Form 4.1 - Waiver of Survivor's Benefit from an Ontario Locked-in Account. Must be signed by spouse before money can be transferred to a LIF policy. Submit the waiver form with the application.

Form 5 - Application to Withdraw or Transfer Money from an Ontario Locked-in Account

Form 5.2 - Application to withdraw or transfer up to 50% of the money transferred into a Schedule 1.1 LIF after December 31, 2010

Form 5.3 – Application to a Financial Institution for a one-time Withdrawal or Transfer of up to 50% of the Money in an Ontario Schedule 1 LIF or LRIF – January 1, 2011 to April 30, 2012

Forms for Unlocking due to Financial Hardship:

Form 6 - Financial Hardship Application for 2011
Form 6.1 – Low Income Financial Hardship Application for 2011
PC 6253



Form 4.1



Form 5


Form 5.2


Form 5.3





Form 6
Form 6.1
Quebec

Required Forms for Temporary LIF Income External site
Schedule 0.4 - Declaration of Annuitant (ages 54-64)
Schedule 0.5 - Declaration of Annuitant (before age 54)
Schedule 0.8 - Declaration of Annuitant (ages 54-64)
PC 2805
Federal (PBSA)

Required Forms for Unlocking due to Financial Hardship:
Form 1 - Attestation Regarding Withdrawal Based on Financial Hardship and
Form 2 - Attestation(s) Regarding Spouse/Common-Law Partner

Required Forms for Unlocking due to a Small Balance:
Form 2 - Attestation(s) Regarding Spouse/Common-Law Partner and
Form 3 - Attestation of Total Amount Held in Federally Regulated Locked-in Plans
PC 2842


Form 1

Form 2


Form 2

Form 3
Federal - Restricted Life Income Fund

Required Forms for Unlocking due to a Small Balance:
Form 2 - Attestation(s) Regarding Spouse/Common-Law Partner and
Form 3 - Attestation of Total Amount Held in Federally Regulated Locked-in Plans

Required Forms for Unlocking due to Financial Hardship:
Form 1 - Attestation Regarding Withdrawal Based on Financial Hardship and
Form 2 - Attestation(s) Regarding Spouse/Common-Law Partner

Required Form for One-Time 50% Unlocking:
Form 2 - Attestation(s) Regarding Spouse/Common-Law Partner
PC 6411


Form 2
Form 3



Form 1

Form 2


Form 2

LRIF policies

LRIF is currently available in only one province. Provide the Policyholder with the appropriate endorsement as follows:

Province
Newfoundland & Labrador PC 4303

Prescribed RIF policies

Provide the Policyholder with the appropriate endorsement:

Province
Manitoba

Forms:

Form 4 - Consent to One-time Transfer of Manitoba Locked-in Money

Request to Superintendent of Pensions for Written Notice

Form 1701 - Spouse's/Common-Law Partner's Declaration to give up Minimum 66²/3% Joint and Survivor Pension from RPPs, LIRAs, LIFs and LRIFs. Must be signed by spouse before money can be transferred to a Prescribed RIF policy. Submit the waiver form with the application.

Application for a One-time Transfer

PC 6866



Form 4

Form

Form 1701





PC 5727

Saskatchewan

Required form

Form 1 - Spouse's Consent to Transfer to a Registered Retirement Income Fund Contract External site. Must be signed by spouse before money can be transferred to a Prescribed RIF. Submit the consent form with the application.

Additional forms

Form 2 - Spouse's Waiver of Designated Beneficiary Status External site. Spouse may waive designated beneficiary status under a Prescribed RIF.

Form 3 - Spouse's Waiver of 60% Post-Retirement Survivor Benefit External site (annuity). Spouse may waive entitlement to the post-retirement survivor benefit.

PC 4735

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