Can this form be signed electronically?

Yes. Electronic signatures are generally valid under the federal ESIGN Act (15 U.S.C. ch. 96) and UETA where adopted; confirm the carrier’s eSignature policy for consumer-facing disclosures.

Do I need a notary or witness?

Some changes (ownership transfers, certain beneficiary changes) may require notarization or witnesses depending on state law and carrier rules; check the carrier’s instructions and state requirements before signing.

What if I make an error on the form?

Do not cross out or alter signed text. Void the form, complete a new one, and resubmit. If a correction is needed after signing, contact the carrier to request correction procedures.

How do I prove identity for changes?

Provide government-issued ID, supporting documents (marriage certificate, court orders), or use an authentication flow (ID verification or notarization) as required by the carrier or state.

How long does processing take?

Processing depends on the change type and review needs; simple updates often finish within 7–15 business days, while underwriting or legal review may take several weeks.

Is there legal risk to electronic submission?

Electronic submission is legally enforceable if it meets intent, consent, attribution, and retention standards per ESIGN and UETA; retain the completed electronic record and audit trail for proof.

Electronic Signature
Templates
Insurance
Application for Change to Manulife Quick Issue Term Policy

Application for Change to Manulife Quick Issue Term Policy

This template is fully customizable. Edit the text, fill out the fields, and send it for signature. Give it a try!

Manulife Quick Issue Term® Application for Change

When evidence of insurability is required

Use this form to make a change to a Manulife Quick Issue Term® policy.

Section 1 – Information about the change

In this section, you and your refer to the policy owner.

1.1 Tell us the policy number and the name of the owner of the policy you want to change.

1.2 Changes to a Manulife Quick Issue Term® policy (Select all that apply.)

Change status from smoker to non-smoker Reinstate policy if your policy lapsed more than six months ago Add a child rider

Date of lapse

Section 2 – General information

2.1 Direct deposit for refunds

The bank account from which we are taking your pre-authorized debit for policy number The bank account identified in section 8

2.2 Special instructions

Section 3 – Information about the person to be insured

In this section, you and your refer to the person to be insured.

3.1 Person to be insured

b. Are you a Canadian citizen or do you have permanent resident status?

Yes No

3.2 Children to be insured under a child rider

Complete this section only if you are applying for a child rider.

Child	Relationship to person insured	Sex
Child 1	child stepchild legally adopted child	male female
Child 2	child stepchild legally adopted child	male female
Child 3	child stepchild legally adopted child	male female
Child 4	child stepchild legally adopted child	male female

Section 4 – Beneficiary information for life insurance

We will change your beneficiary and trustee appointment only if we approve this application for change.

4.1 Beneficiaries – Person to be insured

a. Beneficiaries

Name	Relationship	Revocable	Irrevocable	Share %

b. Secondary beneficiaries

Name	Relationship	Revocable	Irrevocable	Share %

Section 5 – Personal information

The person to be insured must complete this section.

5.1 Height and weight

Has your weight changed by more than 10 pounds (4.5 kg) in the past 12 months?

No Yes

5.2 Medical history

a. Have two or more immediate family members been diagnosed before age 50 with heart diseases, stroke, or cancer?
No Yes Unknown b. Have you had, or considered having, screening/testing/counselling because of family medical history?
No Yes

5.3 Alcohol and drug use

5.4 Driving History

5.5 Medical information details

Question	Details
1
2
3
4

Section 6 – Child rider information

6.1 Children to be insured under a child rider

Complete this section only if you are applying for a child rider.

Child	Name	Height	Weight	Lost > 5 lbs?
Child 1
Child 2

6.2 Medical information details

Section 7 – Your other insurance policies

a. Other than group insurance, is the person to be insured covered under other insurance policies?
No Yes b. Have you applied for any other insurance that has not yet been issued?
No Yes

Section 8 – Billing information

How is the first payment being made?

monthly by pre-authorized debit annually by cheque semiannually by cheque quarterly by cheque

8.1 Banking information

Section 9 – Authorizations, agreements and signatures

Read this entire section carefully and review the application before signing.

Signed at (city or town, province)

Date

Relationship to the person to be insured:

mother father guardian

Advisor’s report

Advisor’s certification

By signing below, you confirm the required certifications and disclosures.

What this application is and when it applies

The Application for Change to Manulife Quick Issue Term Policy is a formal request used to modify an issued Quick Issue term life insurance policy. Typical changes include beneficiary updates, ownership transfers, address or contact updates, coverage reductions or increases when allowed, and rider additions or removals. The form captures identifying policy details, the exact change requested, supporting documentation, and signatures from the policyowner and insured. Insurers review change requests against the original policy terms and applicable state insurance law before recording changes in the policy file.

Why completing the application correctly matters

Accurate completion preserves policy continuity, prevents processing delays, and ensures the carrier records the requested change. A complete, legible application reduces follow-up, lowers risk of misapplied benefits, and creates a clean audit trail for future claims or audits.

Who typically completes or signs this change application

The application is most often prepared by the policyowner or an authorized agent; signatures vary with the requested change.

Policyowner or insured — Submits personal details and signs to authorize requested change; may supply ID or proof of relationship.
Licensed agent or broker — Completes fields on behalf of the client, affirms suitability, and provides producer details and license number.
Beneficiary or new owner — May need to sign accepts or acknowledge change when required by the carrier.

For transfers of ownership or beneficiary designations, additional parties (new owner, beneficiary) or witnesses may be required depending on state law and company policy.

Step-by-step: completing the application accurately

Follow these steps in order to prepare a complete submission to the carrier or agent portal.

01

Gather documents: Collect the policy, ID, and any supporting forms before starting.
02

Complete form fields: Enter policy and personal details exactly, using MM/DD/YYYY for dates.
03

Obtain signatures: Have all required parties sign; include notarization if carrier/state requires it.
04

Submit and retain copy: Send to the insurer or agent portal and keep a signed copy for records.

Configuring the online change workflow

Common online workflow settings determine how the form is routed, authenticated, and stored.

Field	Configuration
Upload document	PDF or DOCX accepted; convert to flattened PDF before sending if required.
Signer assignment	Assign roles: policyowner, insured, agent; set signing order if needed.
Authentication method	Use email link, SMS code, or advanced auth (KBA) per carrier requirements.
Conditional fields	Show additional fields only when a specific change type is selected.

Where and how to file the completed application

Carriers accept change requests through multiple channels. Choose the channel required by Manulife or your broker agreement.

Agent portal: Upload signed form to the insurer portal for fastest processing.
Email submission: Send signed PDF to the insurer's designated change email address if permitted.
Mail or fax: Send original signed documents by mail or approved fax when required.
In-person delivery: Deliver documents to an authorized office if original signatures or notarization are required.

Technical considerations for eSubmission and signing

Use a platform that supports secure eSignature, audit trails, and required authentication methods for insurer acceptance.

File formats: PDF and DOCX supported.
Integrations: Salesforce, NetSuite, Microsoft 365, Google Workspace supported.
Authentication: Email, SMS, KBA, or SSO options available.

Timelines, acknowledgements, and processing expectations

Processing times depend on change complexity, required underwriting, and whether additional documentation is needed.

Acknowledgement timeframe:

Insurers typically acknowledge receipt within 5–10 business days.

Underwriting review:

Coverage or ownership changes requiring underwriting can take 2–4 weeks.

Administrative updates:

Simple beneficiary or address updates often complete within 7–15 business days.

Notarization delays:

Requests requiring notarized signatures may extend processing by additional days.

Follow-up requests:

If carrier requests more information, allow 15–30 business days overall.

Common mistakes that slow processing

Incomplete policy number or mismatched names: carriers may reject or route the request incorrectly and require resubmission.
Vague change descriptions: stating 'update beneficiary' without naming new beneficiaries or percentages causes ambiguity and delay.
Missing signatures or wrong signers: agent signatures in place of owner signatures or absent notarization when required will halt processing.
Failing to attach required documentation: missing proof of identity, marriage certificate, or court order adds underwriting steps and time.

Risks and consequences of incorrect or incomplete applications

Coverage lapse: Delayed change may affect premium or coverage status.

Benefit misallocation: Incorrect beneficiary information can cause payment disputes.

Tax consequences: Ownership transfers may trigger tax reporting or gift-tax considerations.

Claim denial risk: Material misrepresentation can affect claim validity.

Regulatory compliance: Noncompliant processes risk state regulator notices.

Re-execution required: Carrier may require re-signing with proper authentication.

Key components included in a professional change application

A complete application collects identity, policy references, a clear description of the change, and the evidence or consents needed for carrier acceptance.

Policy identification

Full policy number, issue date, and product name to ensure the carrier locates the correct contract and links the requested change to the right record.

Requester details

Policyowner and insured full legal names, dates of birth, contact details, and relationship to each other to confirm authority to request the change.

Change description

A precise statement of the requested action (for example: 'Change primary beneficiary to Jane Doe, SSN ending in 1234, 100%') to avoid ambiguity.

Supporting documents

Attachments such as marriage certificates, divorce decrees, death certificates, or court orders when legal status affects beneficiary or ownership.

Signatures and attestations

Required signatures from policyowner, insured, agent statements, and notary or witness blocks where state law or carrier rules demand authentication.

Carrier use fields

Sections for carrier notes, effective date of change, underwriter review outcomes, and endorsement numbers created by the insurer to document acceptance.

Real-world examples of submitting change requests electronically

These condensed examples show how agencies and policyowners streamline change processing using secure eSubmission and audit trails.

Tim Martin — Martin Properties

A property manager updated multiple beneficiary and address records online to maintain continuity across policies.

The team used a secure platform to collect signatures remotely.
As Tim noted, processing and executing forms online maintained compliance and allowed timely updates without in-person meetings, reducing administrative backlog and improving client responsiveness.

John Butler — Fertility Centers of Illinois

A medical practice centralized policyholder updates for staff-covered group policies and used an eSubmission workflow for documentation.

The practice attached identity documents securely via the portal.
Built-in security and a clear audit trail helped the practice meet internal controls and regulatory expectations while minimizing paperwork handling.

eSignature vendor comparison for submitting change applications

Compare common eSignature plans and capabilities relevant when selecting a platform to collect and submit signed insurance change forms; signNow appears first for comparison purposes.

	signNow	DocuSign	Adobe Sign	PandaDoc	HelloSign
Starting Price	$8/user/mo	$15/user/mo	$14/user/mo	$19/user/mo	$15/user/mo
Free Trial	7-day free trial	Varies by vendor	Varies by vendor	Varies by vendor	Varies by vendor
Bulk Send	Yes	Yes	Yes	Yes	No
Audit Trail	Yes	Yes	Yes	Yes	Yes
HIPAA Compliant	Yes	Yes	Yes	No	No

Frequently asked questions about the change application

Answers to common procedural and legal questions encountered when preparing and submitting change requests for life insurance policies.

Need help? Contact support

Can this form be signed electronically?
Yes. Electronic signatures are generally valid under the federal ESIGN Act (15 U.S.C. ch. 96) and UETA where adopted; confirm the carrier’s eSignature policy for consumer-facing disclosures.
Do I need a notary or witness?
Some changes (ownership transfers, certain beneficiary changes) may require notarization or witnesses depending on state law and carrier rules; check the carrier’s instructions and state requirements before signing.
What if I make an error on the form?
Do not cross out or alter signed text. Void the form, complete a new one, and resubmit. If a correction is needed after signing, contact the carrier to request correction procedures.
How do I prove identity for changes?
Provide government-issued ID, supporting documents (marriage certificate, court orders), or use an authentication flow (ID verification or notarization) as required by the carrier or state.
How long does processing take?
Processing depends on the change type and review needs; simple updates often finish within 7–15 business days, while underwriting or legal review may take several weeks.
Is there legal risk to electronic submission?
Electronic submission is legally enforceable if it meets intent, consent, attribution, and retention standards per ESIGN and UETA; retain the completed electronic record and audit trail for proof.

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