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)
Protection & Healthcare Policies
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
For Businesses
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:
1. Select File from the taskbar and click Print.
2. Click Properties, the Paper and change the size to A4 and click OK.
3. Then change Page Scaling to None and click OK.