Forms and resources

For Individuals

For individual life or health policyholders of Aviva

Life Policies

Addition of Rider(s) / Supplementary Benefit(s) Form

pdf (118.7 KB)

Application Form for Interbank GIRO

pdf (142.5 KB)

Application Form for Reinstatement of Lapsed Policy

pdf (137.3 KB)

Change of Address / Contact Details

pdf (245.2 KB)

Change of Financial Adviser’s Representative

pdf (66.8 KB)

Credit Card Authorization Form

pdf (23.3 KB)

Declaration Form for Lost and Duplicate Policy

pdf (171.4 KB)

Fund Switch and Premium Redirection Form

pdf (148.8 KB)

Global Investment Plans Investment Transaction Service Form

pdf (161.8 KB)

Global Investment Plans Single Premium Top Up & Easy Save Option Form

pdf (163.5 KB)

Global Investment Plans Surrender Form

pdf (107.0 KB)

Health Declaration Form

pdf (149.3 KB)

Investment-Linked Alteration Form

pdf (182.0 KB)

Request for Changes to Individual Life Policies

pdf (84.6 KB)

Request for Changes to Individual Life Policies (Personal Details)

pdf (244.3 KB)

Request for Surrender of Investment - Linked Plan

pdf (113.3 KB)

Request for Surrender of Traditional plan

pdf (119.7 KB)

US National Declaration

pdf (90.0 KB)

Protection & Healthcare Policies

Application Form for Interbank GIRO

pdf (142.6 KB)

Change of Address / Contact Details

pdf (245.2 KB)

Deduction of Premium from Child CPF Medisave Account - MyShield

pdf (56.2 KB)

Policy Servicing Health Declaration

pdf (112.0 KB)

Request for Changes to Individual Health Policies

pdf (114.4 KB)

Nomination of Beneficiary(ies)

Important: Please read the FAQ before submitting the nomination form.

Appointment, or Revocation of Appointment, of Trustee form

pdf (57.6 KB)

Notice of Revocation of Revocable Nomination form

pdf (44.7 KB)

Revocable Nomination form

pdf (50.8 KB)

Revocation of Revocable Nomination form

pdf (43.5 KB)

Revocation of Trust Nomination form

pdf (50.0 KB)

Trust Nomination form

pdf (80.1 KB)

Your Guide to the Nomination of Insurance Nominees (English)

pdf (7.1 MB)

Your Guide to the Nomination of Insurance Nominees (Chinese)

pdf (7.2 MB)

ElderShield and MyCare/ MyCare Plus

Change of Premium Payment Method Form

pdf (220.9 KB)

ElderShield/MyCare Claim Form

pdf (806.3 KB)

Reinstatement Form

pdf (92.4 KB)

ElderShield Health Declaration Form

pdf (149.3 KB)

For Businesses

Forms

Group Insurance Fact-Finding Form

pdf (125.5 KB)

For New Business and Underwriting

Forms and Questionnaires

B52 - Alteration to Application Form (for MyShield / MyHealthPlus)

pdf (114.9 KB)

B58 - Alteration To Application Form

pdf (101.9 KB)

B66 - Source of Wealth/Enhanced Due Diligence Form

pdf (79.8 KB)

B90 - Additional Information to Application Form

pdf (72.1 KB)

CA1 - Clinical Abstract Application Form

pdf (66.6 KB)

C01 - United States of America (US) Person Declaration Form

pdf (90.2 KB)

DAP - Declaration of Attending Physician's Details

pdf (50.9 KB)

QA2 - Musculoskeletal Disorder Supplementary Questionnaire

pdf (106.7 KB)

QA3 - Chest Pain Supplementary Questionnaire

pdf (92.7 KB)

QA5 - Epilepsy Supplementary Questionnaire

pdf (110.0 KB)

QA8 - Drug Supplementary Questionnaire

pdf (92.8 KB)

QA9 - Digestive Disorder Supplementary Questionnaire

pdf (94.2 KB)

QII - Ideal Income Supplementary Questionnaire

pdf (103.0 KB)

Q12 - Lifestyle Supplementary Questionnaire

pdf (70.8 KB)

Q14 - Aviation (Military) Supplementary Questionnaire

pdf (72.6 KB)

Q17 - Financial Supplementary Questionnaire

pdf (100.5 KB)

Q18 - Self-Employed Supplementary Questionnaire

pdf (118.5 KB)

Q19 - Partnership Insurance Supplementary Questionnaire

pdf (82.4 KB)

Q20 - Keyman Insurance Supplementary Questionnaire

pdf (95.9 KB)

Q21 - Adviser Financial Questionnaire for Business Cover

pdf (69.6 KB)

Q27 - Respiratory Disorder Supplementary Questionnaire

pdf (102.3 KB)

Q28 - Declaration of Continued Good Health Form

pdf (57.7 KB)

Q34 - Hypertension Supplementary Questionnaire

pdf (90.1 KB)

Q36 - General Health Supplementary Questionnaire

pdf (96.6 KB)

Q37 - Thyroid Disorder Supplementary Questionnaire

pdf (94.3 KB)

Q38 - Occupational Supplementary Questionnaire

pdf (92.2 KB)

Q39 - Hazardous Pursuits Supplementary Questionnaire

pdf (125.5 KB)

Q40 - Mental Health Supplementary Questionnaire

pdf (97.2 KB)

Q41 - Cysts / Lumps / Tumours / Polyps Supplementary Questionnaire

pdf (101.5 KB)

Q42 - Non-Income Earner Supplementary Questionnaire

pdf (73.1 KB)

Q43 - Liver Disorder Supplementary Questionnaire

pdf (126.2 KB)

Q44 - Aviation (Commercial) Supplementary Questionnaire

pdf (72.3 KB)

Q45 - Raised Cholesterol Supplementary Questionnaire

pdf (105.5 KB)

Q46 - Health Condition Amendment Form

pdf (93.4 KB)

Q47 - Residential Supplementary Questionnaire

pdf (80.0 KB)

Q48 - Employee Benefit Insurance Supplementary Questionnaire

pdf (67.6 KB)

Q50 - Aviation (Private) Supplementary Questionnaire

pdf (96.9 KB)

Q51 - Professional Sport Supplementary Questionnaire

pdf (82.3 KB)

Q6I - Diabetes Supplementary Questionnaire

pdf (109.5 KB)

New Business Health Declaration Form (for Health Products)

pdf (102.0 KB)

Health Declaration Form for Underwriting Riders

pdf (120.6 KB)

Health Declaration Form for Accidental Death and Dismemberment Benefit

pdf (48.2 KB)

Request for release of medical reports

pdf (271.1 KB)

Business Reply Envelope

Printing Instructions:
To print the business reply envelope in the appropriate size, please follow the instructions below: