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Useful Forms


  • Lost Policy Declaration
  • Change my Contact Details
  • Source of Funds / Source of Wealth Form (Single Premium)
  • Surrender Request Form


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The information on this website is supplied as a general guide only. Although prepared with care, Canada Life accepts no responsibility for any errors or omissions. You should always seek the advice of an appropriately qualified professional. Canada Life Assurance (Ireland) Limited is regulated by the Central Bank of Ireland. Canada Life Assurance (Ireland) Limited. Registered in Ireland: No. 82029. Registered Office: Canada Life House, Temple Road, Blackrock, Co. Dublin, Ireland. Canada Life Group Services Limited. Registered in Ireland: No. 410263. Registered Office: Canada Life House, Temple Road, Blackrock, Co. Dublin, Ireland. Copyright - Canada Life 2013.
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