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AUFTRAG ZUM RÜCKKAUF (KÜNDIGUNG) WEALTH PASSPORT GERMAN HYBRID POLICY
|
Germany (DE) |
German (DE) |
Wealth Passport |
Surrender or Claim |
AUFTRAG ZUM RÜCKKAUF (KÜNDIGUNG) WEALTH PASSPORT GERMAN HYBRID POLICY
Operational Forms
AUFTRAG ZUM RÜCKKAUF (KÜNDIGUNG) WEALTH PASSPORT GERMAN HYBRID POLICY
ULU PR 00103
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Use this form to request a change of communication means; change of address; change of correspondence address and consent to the use of electronic signatures
|
France (FR) |
English (EN) |
Non Product Specific |
|
Use this form to request a change of communication means; change of address; change of correspondence address and consent to the use of electronic signatures
Operational Forms
Change of Communications Means and Use of Electronic Signatures form
ULU PR 00102
|
|
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Formulaire de déclaration de perte de documents – Version française à utiliser avec Utmost Luxembourg S.A. France
|
France (FR) |
French (FR) |
Non Product Specific |
|
Formulaire de déclaration de perte de documents – Version française à utiliser avec Utmost Luxembourg S.A. France
Operational Forms
DÉCLARATION DE PERTE DE DOCUMENTS
ULU PR 00091
|
|
|
Use this form to request a change of Communication Means and address – South Africa
|
South Africa (ZA) |
English (EN) |
Non Product Specific |
Making a change to your policy |
Use this form to request a change of Communication Means and address – South Africa
Operational Forms
RESIDENTIAL ADDRESS AND MEANS OF COMMUNICATION
ULU PCON1607
|
|
|
Use this form to request a change of Communication Means and address – Malta
|
Malta (MT) |
English (EN) |
Non Product Specific |
Making a change to your policy |
Use this form to request a change of Communication Means and address – Malta
Operational Forms
RESIDENTIAL ADDRESS AND MEANS OF COMMUNICATION
ULU PCON1606
|
|
|
Use this form to request a change of Communication Means and address – Jersey
|
Jersey (JE) |
English (EN) |
Non Product Specific |
Making a change to your policy |
Use this form to request a change of Communication Means and address – Jersey
Operational Forms
RESIDENTIAL ADDRESS AND MEANS OF COMMUNICATION
ULU PCON1605
|
|
|
Use this form to request a change of Communication Means and address – Israel
|
Israel (IL) |
English (EN) |
Non Product Specific |
Making a change to your policy |
Use this form to request a change of Communication Means and address – Israel
Operational Forms
RESIDENTIAL ADDRESS AND MEANS OF COMMUNICATION
ULU PCON1604
|
|
|
Use this form to request a change of Communication Means and address – Cyprus
|
Cyprus (CY) |
English (EN) |
Non Product Specific |
Making a change to your policy |
Use this form to request a change of Communication Means and address – Cyprus
Operational Forms
RESIDENTIAL ADDRESS AND MEANS OF COMMUNICATION
ULU PCON1602
|
|
|
Use this form to request a change to one or more key characteristics of a Specialised Assurance Fund; such as Change of Fund Manager and Custodian Bank
|
France (FR) |
French (FR) |
Non Product Specific |
|
Use this form to request a change to one or more key characteristics of a Specialised Assurance Fund; such as Change of Fund Manager and Custodian Bank
Operational Forms
Modification des caractéristiques principales d’une Unité de Compte constituée par un Fonds d’Assurance Spécialisé existant
ULU PCON1566
|
|
|
Use this form to request a change to one or more key characteristics of an Internal Dedicated Fund; such as Change of Fund Manager and Custodian Bank
|
Sweden (SE) |
English (EN), Swedish (SV) |
Non Product Specific |
|
Use this form to request a change to one or more key characteristics of an Internal Dedicated Fund; such as Change of Fund Manager and Custodian Bank
Operational Forms
Ändring av huvudsakliga egenskaper för en existerande Intern Dedikerad Fond / Change of the main characteristics of an existing Internal Dedicated Fund
ULU PCON1559
|
|
|
Use this form to authorise the Insurer to perform switches of investments on your policy/contract – Sweden
|
Sweden (SE) |
English (EN) |
Non Product Specific |
|
Use this form to authorise the Insurer to perform switches of investments on your policy/contract – Sweden
Operational Forms
Switch Authorisation
ULU PCON1562
|
|
|
Use this form to request a change to one or more key characteristics of an Internal Dedicated Fund; such as Change of Fund Manager and Custodian Bank
|
Finland (FI) |
English (EN), Finnish (FI) |
Non Product Specific |
|
Use this form to request a change to one or more key characteristics of an Internal Dedicated Fund; such as Change of Fund Manager and Custodian Bank
Operational Forms
Olemassa olevan Sisäisen kohdistetun rahaston tärkeimpien ominaisuuksien muutos / Change of the main characteristics of an existing Internal Dedicated Fund
ULU PCON1558
|
|
|
Use this form to request a change to one or more key characteristics of an Internal Dedicated Fund; such as Change of Fund Manager and Custodian Bank
|
Belgium (BE) |
Dutch (NL) |
Non Product Specific |
|
Use this form to request a change to one or more key characteristics of an Internal Dedicated Fund; such as Change of Fund Manager and Custodian Bank
Operational Forms
Wijziging van de voornaamste kenmerken van een bestaand Intern Toegewezen Fonds
ULU PCON1557
|
|
|
Use this form to request a change to one or more key characteristics of an Internal Dedicated Fund; such as Change of Fund Manager and Custodian Bank
|
Belgium (BE) |
French (FR) |
Non Product Specific |
|
Use this form to request a change to one or more key characteristics of an Internal Dedicated Fund; such as Change of Fund Manager and Custodian Bank
Operational Forms
Modification des caractéristiques principales d’un Fonds Interne Dédié existant
ULU PCON1556
|
|
|
Use this form to request a change of Investment Manager and Investment Strategy – Turkey
|
Turkey (TR) |
English (EN) |
Non Product Specific |
|
Use this form to request a change of Investment Manager and Investment Strategy – Turkey
Operational Forms
Request for Change of Investment Manager and Investment Strategy
ULU PCON1553
|
|
|
Use this form to request a change of Intermediary – Germany
|
Germany (DE) |
German (DE) |
Non Product Specific |
|
Use this form to request a change of Intermediary – Germany
Operational Forms
Wechsel des Vermittlers
ULU PCON1533
|
|
|
Use this form to request a change of communication means; change of address; change of correspondence address and consent to the use of electronic signatures
|
United Kingdom (UK) |
English (EN) |
Non Product Specific |
|
Use this form to request a change of communication means; change of address; change of correspondence address and consent to the use of electronic signatures
Operational Forms
Change of Communication Means and Use of Electronic Signatures Form
ULU PCON1531
|
|
|
Use this form to request a change of communication means; change of address; change of correspondence address and consent to the use of electronic signatures
|
Italy (IT) |
Italian (IT) |
Non Product Specific |
|
Use this form to request a change of communication means; change of address; change of correspondence address and consent to the use of electronic signatures
Operational Forms
Residenza e Comunicazioni
ULU PCON1527
|
|
|
Use this form to request a change of communication means; change of address; change of correspondence address and consent to the use of electronic signatures
|
Norway (NO) |
English (EN), Norwegian (NO) |
Non Product Specific |
|
Use this form to request a change of communication means; change of address; change of correspondence address and consent to the use of electronic signatures
Operational Forms
BOSTEDSADRESSE OG KOMMUNIKASJONSMIDDEL / RESIDENTIAL ADDRESS AND MEANS OF COMMUNICATION
ULU PCON1526
|
|
|
Use this form to request a change of communication means; change of address; change of correspondence address and consent to the use of electronic signatures
|
Sweden (SE) |
English (EN), Swedish (SV) |
Non Product Specific |
|
Use this form to request a change of communication means; change of address; change of correspondence address and consent to the use of electronic signatures
Operational Forms
BOSTADSADRESS SAMT KOMMUNIKATIONSSÄTT / RESIDENTIAL ADDRESS AND MEANS OF COMMUNICATION
ULU PCON1525
|
|
|
Use this form to request a change of communication means; change of address; change of correspondence address and consent to the use of electronic signatures
|
France (FR) |
French (FR) |
Non Product Specific |
|
Use this form to request a change of communication means; change of address; change of correspondence address and consent to the use of electronic signatures
Operational Forms
Formulaire de changement de moyen de communication et utilisation des signatures électroniques
ULU PCON1524
|
|
|
Use this form to request a change of communication means; change of address; change of correspondence address and consent to the use of electronic signatures
|
Portugal (PT) |
English (EN), Portuguese (PT) |
Non Product Specific |
|
Use this form to request a change of communication means; change of address; change of correspondence address and consent to the use of electronic signatures
Operational Forms
Formulário de Alteração dos Meios de Comunicação e Utilização de Assinaturas Electrónicas / Change of Communication Means and Use of Electronic Signatures Form
ULU PCON1523
|
|
|
Use this form to request a change of communication means; change of address; change of correspondence address and consent to the use of electronic signatures
|
Finland (FI) |
English (EN), Finnish (FI) |
Non Product Specific |
|
Use this form to request a change of communication means; change of address; change of correspondence address and consent to the use of electronic signatures
Operational Forms
ASUINOSOITE JA VIESTINTÄVÄLINEET / RESIDENTIAL ADDRESS AND MEANS OF COMMUNICATION
ULU PCON1522
|
|
|
Use this form to request a change of communication means; change of address; change of correspondence address and consent to the use of electronic signatures
|
Belgium (BE) |
French (FR) |
Non Product Specific |
|
Use this form to request a change of communication means; change of address; change of correspondence address and consent to the use of electronic signatures
Operational Forms
Formulaire de changement de moyen de communication et utilisation des signatures électroniques
ULU PCON1521
|
|
|
Use this form to request a change of communication means; change of address; change of correspondence address and consent to the use of electronic signatures
|
Belgium (BE) |
Dutch (NL) |
Non Product Specific |
|
Use this form to request a change of communication means; change of address; change of correspondence address and consent to the use of electronic signatures
Operational Forms
Wijziging van het communicatiemiddel voor correspondentie en het gebruik van elektronische handtekeningen
ULU PCON1520
|
|
|
Use this form to request a change of communication means; change of address; change of correspondence address and consent to the use of electronic signatures
|
Germany (DE) |
German (DE) |
Non Product Specific |
|
Use this form to request a change of communication means; change of address; change of correspondence address and consent to the use of electronic signatures
Operational Forms
WOHNSITZ UND KOMMUNIKATIONSMITTEL
ULU PCON1519
|
|
|
Use this form to request a change of communication means; change of address; change of correspondence address and consent to the use of electronic signatures
|
Spain (ES) |
English (EN), Spanish (ES) |
Non Product Specific |
|
Use this form to request a change of communication means; change of address; change of correspondence address and consent to the use of electronic signatures
Operational Forms
Formulario de cambio de medio de comunicación y uso de firmas electrónicas / Change of Communication Means and Use of Electronic Signatures Form
ULU PCON1518
|
|
|
Use this form to request a change of communication means; change of address; change of correspondence address and consent to the use of electronic signatures
|
Luxembourg (LU) |
English (EN), French (FR) |
Non Product Specific |
|
Use this form to request a change of communication means; change of address; change of correspondence address and consent to the use of electronic signatures
Operational Forms
Change of Communication Means and Use of Electronic Signatures Form / Formulaire de changement de moyen de communication et utilisation des signatures électroniques
ULU PCON1514
|
|
|
Form to be used to declare the loss of policy documents – Turkey
|
Turkey (TR) |
English (EN) |
Non Product Specific |
|
Form to be used to declare the loss of policy documents – Turkey
Operational Forms
Declaration as to Loss of Polivy Schedule
ULU PCON1485
|
|
|
Annex to add additional Life Assureds to the contract/policy
|
Finland (FI) |
English (EN), Finnish (FI) |
Non Product Specific |
|
Annex to add additional Life Assureds to the contract/policy
Operational Forms
Lisähenkivakuutettu – Vakuutuksenottajan Pyyntö / Additional Life Assured – Policyholder’s Request
ULU PCON1480
|
|
|
Use this form to request a change of Beneficiary – Finland
|
Finland (FI) |
English (EN), Finnish (FI) |
Non Product Specific |
|
Use this form to request a change of Beneficiary – Finland
Operational Forms
Edunsaajamääräyksen Muutoslomake / Change of Beneficiary Nomination
ULU PCON1479
|
|
|
Use this form to request a change of communication means; change of address; change of correspondence address and consent to the use of electronic signatures
|
Lithuania (LT) |
English (EN) |
Non Product Specific |
|
Use this form to request a change of communication means; change of address; change of correspondence address and consent to the use of electronic signatures
Operational Forms
Adreso korespondencijai pasirinkimas / Choice of Correspondence Address
ULU PCON1448
|
|
|
Use this form to request a change of investment manager and Investment Strategy – Norway
|
Norway (NO) |
English (EN) |
Non Product Specific |
|
Use this form to request a change of investment manager and Investment Strategy – Norway
Operational Forms
Request for Change of Investment Manager – Norwegian Market
ULU PCON1389
|
|
|
Use this form to request a change of Broker – Turkey
|
Turkey (TR) |
English (EN) |
Non Product Specific |
|
Use this form to request a change of Broker – Turkey
Operational Forms
Appointment of Broker
ULU PCON1375
|
|
|
Use this form to request a change of Custodian Bank – Turkey
|
Turkey (TR) |
English (EN) |
Non Product Specific |
|
Use this form to request a change of Custodian Bank – Turkey
Operational Forms
Request for Change of Custodian Bank
ULU PCON1346
|
|
|
Use this form to request an appointment or change of broker
|
Belgium (BE) |
French (FR) |
Non Product Specific |
|
Use this form to request an appointment or change of broker
Operational Forms
Désignation d’Intermédiaire
ULU PCON1323
|
|
|
Use this form to request an appointment or change of broker
|
Belgium (BE) |
Dutch (NL) |
Non Product Specific |
|
Use this form to request an appointment or change of broker
Operational Forms
Aanstelling van Tussenpersoon
ULU PCON1322
|
|
|
Use this form to request a change of life cover – Italy (Branch)
|
Italy (IT) |
Italian (IT) |
Non Product Specific |
|
Use this form to request a change of life cover – Italy (Branch)
Operational Forms
Richiesta di Modifica della Maggiorazione in caso di Decesso
ULU PCON1317
|
|
|
Use this form to request a change to one or more key characteristics of an Internal Dedicated Fund; such as Change of Fund Manager and Custodian Bank
|
Italy (IT) |
Italian (IT) |
Non Product Specific |
|
Use this form to request a change to one or more key characteristics of an Internal Dedicated Fund; such as Change of Fund Manager and Custodian Bank
Operational Forms
Atto di Variazione del Fondo Interno Dedicato
ULU PCON1310
|
|
|
Use this form to request a transfer of your policy/contract to another policyholder – Germany
|
Germany (DE) |
German (DE) |
Non Product Specific |
|
Use this form to request a transfer of your policy/contract to another policyholder – Germany
Operational Forms
Übernahme einder bestehenden Police bei Ableben des Versicherungsnehmers
ULU PCON1301
|
|
|
Use this form to request a change of term to your policy/contract – Germany
|
Germany (DE) |
German (DE) |
Non Product Specific |
|
Use this form to request a change of term to your policy/contract – Germany
Operational Forms
Änderung der Laufzeit für bestehende Policen
ULU PCON1300
|
|
|
Use this form to request a change of policyholder on an existing policy/contract – Germany
|
Germany (DE) |
German (DE) |
Non Product Specific |
|
Use this form to request a change of policyholder on an existing policy/contract – Germany
Operational Forms
Wechsel des Versicherungsnehmers einer bestehenden Police
ULU PCON1299
|
|
|
Use this form to request a change of Investment Strategy (Fund Picking) – Germany
|
Germany (DE) |
German (DE) |
Non Product Specific |
|
Use this form to request a change of Investment Strategy (Fund Picking) – Germany
Operational Forms
Wechsel der Anlagestrategie (Fondsauswahl + Vermögensverwaltung)
ULU PCON1262
|
|
|
Use this form to request a change of communication means; change of address; change of correspondence address and consent to the use of electronic signatures
|
Turkey (TR) |
English (EN) |
Non Product Specific |
|
Use this form to request a change of communication means; change of address; change of correspondence address and consent to the use of electronic signatures
Operational Forms
Choice of Correspondance Address
ULU PCON1258
|
|
|
Use this form to request a change of communication means; change of address; change of correspondence address and consent to the use of electronic signatures
|
Mexico (MX) |
English (EN), Spanish (ES) |
Non Product Specific |
|
Use this form to request a change of communication means; change of address; change of correspondence address and consent to the use of electronic signatures
Operational Forms
Elección de Dirección de Correspondencia / Choice of Correspondence Address
ULU PCON1259
|
|
|
Use this form to request a change of Investment Manager to Policyholder as Investment Manager – Norway
|
Norway (NO) |
English (EN) |
Non Product Specific |
|
Use this form to request a change of Investment Manager to Policyholder as Investment Manager – Norway
Operational Forms
Request for Change of Investment Manager to the Policyholder as Investment Manager
ULU PCON1252
|
|
|
Use this form to initiate a death claim – Sweden
|
Sweden (SE) |
Swedish (SV) |
Non Product Specific |
|
Use this form to initiate a death claim – Sweden
Operational Forms
Bouppteckningsintyg
ULU PCON1253
|
|
|
Use this form to request a change of Investment Manager to Policyholder as Investment Manager – Finland
|
Finland (FI) |
English (EN) |
Non Product Specific |
|
Use this form to request a change of Investment Manager to Policyholder as Investment Manager – Finland
Operational Forms
Request for Change of Investment Manager to the Policyholder as Investment Manager
ULU PCON1251
|
|
|
Use this form to request a change of Investment Manager to Policyholder as Investment Manager – Sweden
|
Sweden (SE) |
English (EN) |
Non Product Specific |
|
Use this form to request a change of Investment Manager to Policyholder as Investment Manager – Sweden
Operational Forms
Request for Change of Investment Manager to the Policyholder as Investment Manager
ULU PCON1250
|
|
|
Use this form to request a change of Policyholder – Corporate Entity – Italy
|
Italy (IT) |
Italian (IT) |
Non Product Specific |
|
Use this form to request a change of Policyholder – Corporate Entity – Italy
Operational Forms
Richiesta Cambio Contraente Persona Giuridica
ULU PCON1246
|
|
|
Use this form to request a change of Policyholder – Physical Person – Italy
|
Italy (IT) |
Italian (IT) |
Non Product Specific |
|
Use this form to request a change of Policyholder – Physical Person – Italy
Operational Forms
Richiesta Cambio Contraente Persona Fisica
ULU PCON1245
|
|
|
Form to be used to declare the loss of policy documents – Italy
|
Italy (IT) |
Italian (IT) |
Non Product Specific |
|
Form to be used to declare the loss of policy documents – Italy
Operational Forms
Dichiarazione di Smarrimento
ULU PCON1244
|
|
|
Use this form to request a change of Intermediary – Italy
|
Italy (IT) |
Italian (IT) |
Non Product Specific |
|
Use this form to request a change of Intermediary – Italy
Operational Forms
Richiesta Cambio Intermediario
ULU PCON1243
|
|
|
Use this form to request a change of Investment Strategy – United Kingdom
|
United Kingdom (UK) |
English (EN) |
Non Product Specific |
|
Use this form to request a change of Investment Strategy – United Kingdom
Operational Forms
Request for Change of Investment Strategy
ULU PCON1214
|
|
|
Use this form to request a change of Beneficiary – Italy
|
Italy (IT) |
Italian (IT) |
Non Product Specific |
|
Use this form to request a change of Beneficiary – Italy
Operational Forms
Richiesta Cambio Beneficiario
ULU PCON1213
|
|
|
Use this form to request a change of Investment Manager – Portugal
|
Portugal (PT) |
English (EN), Portuguese (PT) |
Non Product Specific |
|
Use this form to request a change of Investment Manager – Portugal
Operational Forms
Requerimento Para Alteração Do Gestor De Investimento / Request for Change of Investment Manager
ULU PCON1193
|
|
|
Use this form to request a change of Investment Manager – United Kingdom
|
United Kingdom (UK) |
English (EN) |
Non Product Specific |
|
Use this form to request a change of Investment Manager – United Kingdom
Operational Forms
Request for Change of Investment manager
ULU PCON1072
|
|
|
Use this form to request a change of Investment Manager and Investment Strategy – France
|
France (FR) |
French (FR) |
Non Product Specific |
|
Use this form to request a change of Investment Manager and Investment Strategy – France
Operational Forms
Demande de Changement de Gestionnaire et Stratégie d’Investissement
ULU PCON1069
|
|
|
Use this form to request a change of Custodian Bank
|
France (FR) |
French (FR) |
Non Product Specific |
|
Use this form to request a change of Custodian Bank
Operational Forms
Formulaire Changement de Banque Dépositaire
ULU PCON1060
|
|
|
Use this form to request a change of Custodian Bank
|
United Kingdom (UK) |
English (EN) |
Non Product Specific |
|
Use this form to request a change of Custodian Bank
Operational Forms
Request for Change of Custodian Bank
ULU PCON1057
|
|
|
Form to be used to declare the loss of policy documents – United Kingdom
|
United Kingdom (UK) |
English (EN) |
Non Product Specific |
|
Form to be used to declare the loss of policy documents – United Kingdom
Operational Forms
Declaration as to Loss of Policy Schedule
ULU PCON1042
|
|
|
Use this form to initiate a death claim – Finland
|
Finland (FI) |
English (EN), Finnish (FI) |
Non Product Specific |
Surrender or Claim |
Use this form to initiate a death claim – Finland
Operational Forms
Kuolintapaus / Death Claim
ULU PCON1006
|
|
|
Power of Attorney for the verification of the instructions for the Specialised Assurance Fund – France
|
France (FR) |
French (FR) |
Non Product Specific |
New Policy |
Power of Attorney for the verification of the instructions for the Specialised Assurance Fund – France
Operational Forms
Mandat de vérification d’instructions et de réception/ transmission d’ordres pour le Fonds d’Assurance Spécialisé
ULU CONT4875
|
|
|
Power of Attorney for the reception of the instructions for the Specialised Assurance Fund – France
|
France (FR) |
French (FR) |
Non Product Specific |
New Policy |
Power of Attorney for the reception of the instructions for the Specialised Assurance Fund – France
Operational Forms
Mandat de réception d’instructions pour un Fonds d’Assurance Spécialisé
ULU CONT4874
|
|
|
Annex to add additional Specialised Assurance Funds to the contract/policy
|
France (FR) |
French (FR) |
Private Client Portfolio |
New Policy |
Annex to add additional Specialised Assurance Funds to the contract/policy
Operational Forms
Nouvelle Unité de Compte constituée par un Fonds d’Assurance Spécialisé
ULU CONT4860
|
|
|
Annex to add additional Internal Dedicated Funds to the contract/policy
|
France (FR) |
French (FR) |
Private Client Portfolio |
New Policy |
Annex to add additional Internal Dedicated Funds to the contract/policy
Operational Forms
Nouvelle Unité de Compte constituée par un Fonds Interne Dédié
ULU CONT4854
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for individual policyholders.
|
Finland (FI) |
English (EN), Finnish (FI) |
Private Client Portfolio |
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for individual policyholders.
Operational Forms
Itse sertifiointi / Self-Certification
ULU CONT4807
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for individual policyholders.
|
Sweden (SE) |
English (EN), Swedish (SV) |
Non Product Specific |
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for individual policyholders.
Operational Forms
Självcertifiering / Self-Certification (FATCA)
ULU CONT4806
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for individual policyholders.
|
Finland (FI) |
English (EN), Finnish (FI) |
Private Client Portfolio |
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for individual policyholders.
Operational Forms
Automaattinen Tietojenvaihto – Itsesertifiointi / Automatic Exchange of Information – Self-Certification
ULU CONT4693
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for individual policyholders.
|
Norway (NO) |
English (EN), Norwegian (NO) |
Non Product Specific |
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for individual policyholders.
Operational Forms
Automatisert Utveksling av Informasjon Egenerklæringsskjema / Automatic Exchange of Information Self-Certification
ULU CONT4692
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for individual policyholders.
|
Sweden (SE) |
English (EN), Swedish (SV) |
Private Client Portfolio |
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for individual policyholders.
Operational Forms
Automatiskt Utbyte av Information Självcertifieringsformulär / Automatic Exchange of Information Self-Certification
ULU CONT4691
|
|
|
Rules for Internal Dedicated Fund – Italy
|
Italy (IT) |
Italian (IT) |
Non Product Specific |
New Policy |
Rules for Internal Dedicated Fund – Italy
Operational Forms
Regolamento del Fondo Interno Dedicato
ULU CONT4585
|
|
|
Power of Attorney for the Investment Advisor – Luxembourg – Capitalisation Bond
|
Luxembourg (LU) |
English (EN), French (FR) |
Non Product Specific |
|
Power of Attorney for the Investment Advisor – Luxembourg – Capitalisation Bond
Operational Forms
Power of Attorney / Procuration – Luxembourg Capitalisation Bond
ULU CONT4549
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for controlling persons.
|
France (FR) |
French (FR) |
Liberté, Liberté Capitalisation |
New Policy |
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for controlling persons.
Operational Forms
Echange Automatique de Renseignements Formulaire d’Autocertification
ULU CONT4271
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for controlling persons.
|
Norway (NO) |
English (EN), Norwegian (NO) |
Non Product Specific |
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for controlling persons.
Operational Forms
Automatisert Utveksling av Informasjon – Egenerklæringsskjema for kontrollende personer
ULU CONT4268
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for controlling persons.
|
Finland (FI) |
Finnish (FI) |
Non Product Specific |
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for controlling persons.
Operational Forms
Automaattinen Tietojenvaihto – Kontrollovia Henkilöitä Koskeva Todistuslomake
ULU CONT4267
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for controlling persons.
|
Sweden (SE) |
English (EN), Swedish (SV) |
Private Client Portfolio |
New Policy |
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for controlling persons.
Operational Forms
Automatiskt Utbyte av Information Självcertifieringsformulär för Person med bestämmande inflytande / Automatic Exchange of Information Self-Certification for Controlling Persons
ULU CONT4266
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for controlling persons.
|
Portugal (PT) |
Portuguese (PT) |
Non Product Specific |
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for controlling persons.
Operational Forms
Troca Automática de Informações – Formulário de Autocertificação para pessoas que exercem o controlo
ULU CONT4265
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for controlling persons.
|
Belgium (BE) |
Dutch (NL) |
Non Product Specific |
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for controlling persons.
Operational Forms
Automatische Uitwisseling van Inlichtingen – Zelfcertificering voor uiteindelijk belanghebbenden
ULU CONT4264
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for controlling persons.
|
Germany (DE) |
German (DE) |
Non Product Specific |
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for controlling persons.
Operational Forms
Automatischer Austausch von Informationen – Formular zur Selbstauskunft für beherrschende personen
ULU CONT4263
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for controlling persons.
|
Belgium (BE), Luxembourg (LU) |
French (FR) |
Non Product Specific |
New Policy |
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for controlling persons.
Operational Forms
Echange Automatique de Renseignements – Formulaire d’Autocertification pour les personnes détenant le contrôle
ULU CONT4262
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for controlling persons.
|
Mexico (MX), Peru (PE), Spain (ES) |
Spanish (ES) |
Non Product Specific |
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for controlling persons.
Operational Forms
Intercambio Automático de Información – Formulario de Declaración para personas de control
ULU CONT4261
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for controlling persons.
|
Italy (IT) |
Italian (IT) |
Non Product Specific |
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for controlling persons.
Operational Forms
Scambio Automatico di Informazioni – Modulo di Autocertificazione per persone che esercitano il controllo (FOS)
ULU CONT4260
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for corporate applications.
|
France (FR) |
French (FR) |
Liberté, Liberté Capitalisation |
New Policy |
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for corporate applications.
Operational Forms
Echange Automatique de Renseignements Formulaire d’Autocertification
ULU CONT4259
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for corporate applications.
|
Norway (NO) |
English (EN), Norwegian (NO) |
Non Product Specific |
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for corporate applications.
Operational Forms
Automatisert Utveksling av Informasjon Egenerklæringsskjema / Automatic Exchange of Information Self-Certification
ULU CONT4256
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for corporate applications.
|
Finland (FI) |
Finnish (FI) |
Private Client Portfolio |
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for corporate applications.
Operational Forms
Automaattinen Tietojenvaihto – Yksiköitä Koskeva Todistuslomake
ULU CONT4255
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for corporate applications.
|
Sweden (SE) |
English (EN), Swedish (SV) |
Private Client Portfolio |
New Policy |
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for corporate applications.
Operational Forms
Automatiskt Utbyte av Information Självcertifieringsformulär för Enheter / Automatic Exchange of Information Self-Certification for Entities
ULU CONT4254
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for corporate applications.
|
Portugal (PT) |
Portuguese (PT) |
Non Product Specific |
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for corporate applications.
Operational Forms
Troca Automática de Informações – Formulário de Autocertificação para entidades
ULU CONT4253
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for corporate applications.
|
Belgium (BE) |
Dutch (NL) |
Non Product Specific |
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for corporate applications.
Operational Forms
Automatische Uitwisseling van Inlichtingen – Zelfcertificering voor entiteiten
ULU CONT4252
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for corporate applications.
|
Germany (DE) |
German (DE) |
Non Product Specific |
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for corporate applications.
Operational Forms
Automatischer Austausch von Informationen – Formular zur Selbstauskunft für rechtsträger
ULU CONT4251
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for corporate applications.
|
Belgium (BE), Luxembourg (LU) |
French (FR) |
Non Product Specific |
New Policy |
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for corporate applications.
Operational Forms
Echange Automatique de Renseignements – Formulaire d’Autocertification pour les entités
ULU CONT4250
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for corporate applications.
|
Mexico (MX), Peru (PE), Spain (ES) |
Spanish (ES) |
Non Product Specific |
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for corporate applications.
Operational Forms
Intercambio Automático de Información – Formulario de Declaración para entidades
ULU CONT4249
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for corporate applications.
|
Italy (IT) |
Italian (IT) |
Non Product Specific |
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for corporate applications.
Operational Forms
Scambio Automatico di Informazioni – Modulo di Autocertificazione per persone giuridiche (FOS)
ULU CONT4248
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for individual policyholders.
|
France (FR) |
French (FR) |
Liberté, Liberté Capitalisation |
New Policy |
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for individual policyholders.
Operational Forms
Echange Automatique de Renseignements Formulaire d’Autocertification
ULU CONT4247
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for individual policyholders.
|
Portugal (PT) |
Portuguese (PT) |
Non Product Specific |
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for individual policyholders.
Operational Forms
Troca Automática de Informações – Formulário de Autocertificação para pessoas singulares
ULU CONT4244
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for individual policyholders.
|
Belgium (BE) |
Dutch (NL) |
Non Product Specific |
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for individual policyholders.
Operational Forms
Automatische Uitwisseling van Inlichtingen – Zelfcertificering voor natuurlijke personen
ULU CONT4243
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for individual policyholders.
|
Germany (DE) |
German (DE) |
Non Product Specific |
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for individual policyholders.
Operational Forms
Automatischer Austausch von Informationen – Formular zur Selbstauskunft Für Natürliche Personen
ULU CONT4242
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for individual policyholders.
|
Belgium (BE), Luxembourg (LU) |
French (FR) |
Non Product Specific |
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for individual policyholders.
Operational Forms
Echange Automatique de Renseignements – Formulaire d’Autocertification pour les personnes physiques
ULU CONT4241
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for individual policyholders.
|
Mexico (MX), Peru (PE), Spain (ES) |
Spanish (ES) |
Non Product Specific |
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for individual policyholders.
Operational Forms
Intercambio Automático de Información – Formulario de Declaración para personas físicas
ULU CONT4240
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for individual policyholders.
|
Italy (IT) |
Italian (IT) |
Non Product Specific |
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for individual policyholders.
Operational Forms
Scambio Automatico di Informazioni – Modulo di Autocertificazione per persone fisiche (FOS)
ULU CONT4239
|
|
|
Declaration of the partners of a civil partnership as policyholder
|
Belgium (BE) |
Dutch (NL) |
Select Client Plan |
New Policy |
Declaration of the partners of a civil partnership as policyholder
Operational Forms
Verklaring van de maten van een burgerlijke maatschap als Verzekeringnemer
ULU CONT4192
|
|
|
Declaration of the partners of a civil partnership as policyholder
|
Belgium (BE) |
French (FR) |
Select Client Plan |
New Policy |
Declaration of the partners of a civil partnership as policyholder
Operational Forms
Déclaration des associés d’une société civile en tant que Preneur d’Assurance
ULU CONT4191
|
|
|
Bare Trust form for the Private Client Portfolio product – United Kingdom
|
United Kingdom (UK) |
English (EN) |
Private Client Portfolio |
New Policy |
Bare Trust form for the Private Client Portfolio product – United Kingdom
Operational Forms
Bare Trust – Private Client Portfolio
ULU CONT4039
|
|
|
Change of Client Role form
|
United Kingdom (UK) |
English (EN) |
Non Product Specific |
Making a change to your policy |
Change of Client Role form
Operational Forms
Change of Client Role
ULU CONT3934
|
|
|
“Prise de date” annex to the Liberté Capitalisation product – France
|
France (FR) |
French (FR) |
Non Product Specific |
New Policy |
“Prise de date” annex to the Liberté Capitalisation product – France
Operational Forms
Avenant au contrat de capitalisation
ULU CONT3910
|
|
|
“Prise de date” annex to the Liberté product – France
|
France (FR) |
French (FR) |
Non Product Specific |
New Policy |
“Prise de date” annex to the Liberté product – France
Operational Forms
Avenant au contrat d’assurance-vie
ULU CONT3909
|
|
|
Annex to add additional Family Shared Internal Dedicated Funds to the contract/policy
|
Belgium (BE) |
Dutch (NL) |
Select Client Plan |
New Policy |
Annex to add additional Family Shared Internal Dedicated Funds to the contract/policy
Operational Forms
Select Client Plan – Voornaamste kenmerken van het (family shared) Intern Toegewezen Fonds
ULU CONT3789
|
|
|
Annex to add additional Family Shared Internal Dedicated Funds to the contract/policy
|
Belgium (BE) |
French (FR) |
Select Client Plan |
New Policy |
Annex to add additional Family Shared Internal Dedicated Funds to the contract/policy
Operational Forms
Select Client Plan – Caractéristiques principales du (family shared) Fonds interne dédié
ULU CONT3788
|
|
|
Annex to add additional Internal Dedicated Funds to a multi-contract/policy on the Liberté Capitalisation product – France
|
France (FR) |
French (FR) |
Liberté Capitalisation |
Addition to your Policy |
Annex to add additional Internal Dedicated Funds to a multi-contract/policy on the Liberté Capitalisation product – France
Operational Forms
Unité de Compte du Contrat constituée par un Fonds Interne Dédié lié à plusieurs Contrats
ULU CONT3775
|
|
|
Annex to add additional Internal Dedicated Funds to a multi-contract/policy on the Liberté product – France
|
France (FR) |
French (FR) |
Liberté |
Addition to your Policy |
Annex to add additional Internal Dedicated Funds to a multi-contract/policy on the Liberté product – France
Operational Forms
Unité de Compte du Contrat constituée par un Fonds Interne Dédié lié à plusieurs Contrats
ULU CONT3769
|
|
|
Annex to add additional Internal Dedicated Funds to the contract/policy
|
Belgium (BE) |
French (FR) |
Select Client Plan |
New Policy |
Annex to add additional Internal Dedicated Funds to the contract/policy
Operational Forms
Select Client Plan (Multi-Support) – Fonds Interne Dédié additionnel
ULU CONT3633
|
|
|
Annex to add additional Internal Dedicated Funds to the contract/policy
|
Belgium (BE) |
Dutch (NL) |
Select Client Plan |
New Policy |
Annex to add additional Internal Dedicated Funds to the contract/policy
Operational Forms
Select Client Plan (Multi-Support) – Bijkomend Intern Toegewezen Fonds
ULU CONT3632
|
|
|
Liste over tilgjenelige Interne Kollektive Fond / List of available Internal Collective Funds
|
Norway (NO) |
English (EN), Norwegian (NO) |
Private Client Portfolio |
|
Liste over tilgjenelige Interne Kollektive Fond / List of available Internal Collective Funds
Operational Forms
Private Client Portfolio – List of Available Internal Collective Funds
ULU CONT3613
|
|
|
Choice of law for the French market (Englishh version)
|
France (FR) |
English (EN) |
Non Product Specific |
|
Choice of law for the French market (Englishh version)
Operational Forms
Choice of Law form
ULU CONT3572
|
|
|
Request for Professional Client Status
|
Portugal (PT) |
English (EN), Portuguese (PT) |
Non Product Specific |
|
Request for Professional Client Status
Operational Forms
Solicitação de Estatuto de Cliente Profissional / Request for Professional Client Status
ULU CONT3570
|
|
|
List of available Internal Collective Funds for the Private Client Portfolio product – Finland
|
Finland (FI) |
English (EN), Finnish (FI) |
Non Product Specific |
|
List of available Internal Collective Funds for the Private Client Portfolio product – Finland
Operational Forms
Capitalisation Bond – Liite: Sisäisten yhteisrahastojen luettelo / Appendix: list of available Internal Collective Funds
ULU CONT3555
|
|
|
Change of Client Information form
|
ASIA |
English (EN) |
Non Product Specific |
Making a change to your policy |
Change of Client Information form
Operational Forms
Change of Client Information
ULU CONT3530
|
|
|
Use this form to request a change of Client information
|
United Kingdom (UK) |
English (EN) |
Non Product Specific |
Making a change to your policy |
Use this form to request a change of Client information
Operational Forms
Change of Client Information
ULU CONT3473
|
|
|
Annex to add additional Specialised Assurance Funds to the contract/policy
|
Finland (FI) |
English (EN), Finnish (FI) |
Private Client Portfolio |
New Policy |
Annex to add additional Specialised Assurance Funds to the contract/policy
Operational Forms
Uusi Erityisvakuutusrahasto / New Specialised Assurance Fund
ULU CONT3476
|
|
|
Use this form to request a downgrade of your investment category
|
Finland (FI) |
English (EN), Finnish (FI) |
Non Product Specific |
|
Use this form to request a downgrade of your investment category
Operational Forms
Vaatimus Asiakasluokan alentamisesta – Demand for Client Category Downgrade
ULU CONT3454
|
|
|
Use this form to request a upgrade of your investment category
|
Finland (FI) |
English (EN), Finnish (FI) |
Non Product Specific |
|
Use this form to request a upgrade of your investment category
Operational Forms
Pyyntö Asiakasluokan korottamisesta / Request for Client Category Upgrade
ULU CONT3455
|
|
|
Use this form to perform a choice of law
|
United Kingdom (UK) |
English (EN) |
Non Product Specific |
|
Use this form to perform a choice of law
Operational Forms
Choice Of Law
ULU CONT3261
|
|
|
Annex to the application form for beneficiary nomination
|
South Africa (ZA) |
English (EN) |
Private Client Portfolio |
Making a change to your policy |
Annex to the application form for beneficiary nomination
Operational Forms
Beneficiary Nomination
ULU CONT3233
|
|
|
Request for Professional Client Status
|
Belgium (BE) |
Dutch (NL), English (EN) |
Non Product Specific |
|
Request for Professional Client Status
Operational Forms
Aanvraag van het Statuut van Professionele Cliënt / Request for Professional Client Status
ULU CONT3210
|
|
|
Use this form to add additional SAFs to the Policy
|
Portugal (PT) |
English (EN), Portuguese (PT) |
Private Client Portfolio |
New Business Pack |
Use this form to add additional SAFs to the Policy
Operational Forms
PCP -Additional Specialised Assurance Fund Annex
ULU CONT3205
|
|
|
Request for Professional Client Status
|
Belgium (BE) |
English (EN), French (FR) |
Non Product Specific |
|
Request for Professional Client Status
Operational Forms
Demande de Statut de Client Professionnel / Request for Professional Client Status
ULU CONT3207
|
|
|
Use this form to add additional IDFs to the Policy
|
Portugal (PT) |
English (EN), Portuguese (PT) |
Private Client Portfolio |
New Business Pack |
Use this form to add additional IDFs to the Policy
Operational Forms
Portugal – Additional Internal Dedicated Fund Annex
ULU CONT3204
|
|
|
Power of Attorney for the Investment Advisor – Luxembourg
|
Luxembourg (LU) |
English (EN), French (FR) |
Non Product Specific |
|
Power of Attorney for the Investment Advisor – Luxembourg
Operational Forms
Power of Attorney / Procuration (Adviser)
ULU CONT3198
|
|
|
Annex to add additional Specialised Assurance Funds to the contract/policy
|
Luxembourg (LU) |
French (FR) |
Private Client Portfolio |
New Policy |
Annex to add additional Specialised Assurance Funds to the contract/policy
Operational Forms
Private Client Portfolio – Additional SAF / FAS supplémentaire
ULU CONT3186
|
|
|
Annex showing the activity-based charging grid
|
Italy (IT) |
Italian (IT) |
Non Product Specific |
|
Annex showing the activity-based charging grid
Operational Forms
Costi amministrativi addizionali
ULU CONT3183
|
|
|
Annex to add additional Internal Dedicated Funds to the contract/policy
|
Luxembourg (LU) |
French (FR) |
Private Client Portfolio |
New Policy |
Annex to add additional Internal Dedicated Funds to the contract/policy
Operational Forms
Private Client Portfolio – Additional IDF / FID supplémentaire
ULU CONT3185
|
|
|
Annex showing the activity-based charging grid
|
Luxembourg (LU) |
English (EN), French (FR) |
Non Product Specific |
|
Annex showing the activity-based charging grid
Operational Forms
Schedule of Additional Administrative Charges / Aperçu des frais administratifs additionnels
ULU CONT3179
|
|
|
Annex showing the activity-based charging grid
|
Portugal (PT) |
Portuguese (PT) |
Non Product Specific |
|
Annex showing the activity-based charging grid
Operational Forms
Tarifário de transações
ULU CONT3180
|
|
|
Annex showing the activity-based charging grid
|
Norway (NO) |
English (EN) |
Non Product Specific |
|
Annex showing the activity-based charging grid
Operational Forms
Schedule of Additional Administrative Charges
ULU CONT3177
|
|
|
Annex showing the activity-based charging grid
|
Sweden (SE) |
English (EN) |
Non Product Specific |
|
Annex showing the activity-based charging grid
Operational Forms
Schedule of Additional Administrative Charges
ULU CONT3178
|
|
|
Annex showing the activity-based charging grid
|
Turkey (TR) |
English (EN) |
Non Product Specific |
|
Annex showing the activity-based charging grid
Operational Forms
Schedule of Additional Administrative Charges
ULU CONT3170
|
|
|
Annex showing the activity-based charging grid
|
Spain (ES) |
Spanish (ES) |
Non Product Specific |
|
Annex showing the activity-based charging grid
Operational Forms
Listado de costes administrativos adicionales
ULU CONT3171
|
|
|
Annex showing the activity-based charging grid
|
Belgium (BE) |
French (FR) |
Non Product Specific |
|
Annex showing the activity-based charging grid
Operational Forms
Aperçu des frais administratifs additionnels
ULU CONT3168
|
|
|
Annex showing the activity-based charging grid
|
France (FR) |
French (FR) |
Non Product Specific |
|
Annex showing the activity-based charging grid
Operational Forms
Détails des Frais de transaction
ULU CONT3169
|
|
|
Annex showing the activity-based charging grid
|
Germany (DE) |
German (DE) |
Non Product Specific |
|
Annex showing the activity-based charging grid
Operational Forms
Einzelheiten zu Einmalgebühren für bestimmte Vorgänge
ULU CONT3166
|
|
|
Annex showing the activity-based charging grid
|
Belgium (BE) |
Dutch (NL) |
Non Product Specific |
|
Annex showing the activity-based charging grid
Operational Forms
Overzicht van bijkomende administratieve vergoedingen
ULU CONT3167
|
|
|
Annex showing the activity-based charging grid
|
United Kingdom (UK) |
English (EN) |
Non Product Specific |
|
Annex showing the activity-based charging grid
Operational Forms
Schedule of Additional Administrative Charges
ULU CONT3165
|
|
|
Use this form to request a change to the Fund Selection – United Kingdom
|
United Kingdom (UK) |
English (EN) |
Private Client Portfolio |
Addition to your Policy, New Policy |
Use this form to request a change to the Fund Selection – United Kingdom
Operational Forms
Change Request to Fund Selection
ULU CONT2933
|
|
|
Annex to the application form for beneficiary acceptance
|
Belgium (BE) |
Dutch (NL) |
Non Product Specific |
|
Annex to the application form for beneficiary acceptance
Operational Forms
Bijvoegsel bij de levensverzekeringsovereenkomst – Aanvaarding van de begunstiging
ULU CONT2802
|
|
|
Annex to the application form for beneficiary acceptance
|
Belgium (BE) |
French (FR) |
Non Product Specific |
|
Annex to the application form for beneficiary acceptance
Operational Forms
Avenant au contrat d’assurance-vie – Acceptation du bénéfice
ULU CONT2803
|
|
|
Annex to the application form for signing the dissolution of the transfer of insurance rights
|
Belgium (BE) |
Dutch (NL) |
Non Product Specific |
|
Annex to the application form for signing the dissolution of the transfer of insurance rights
Operational Forms
Bijvoegsel bij de levensverzekeringsovereenkomst – Ontbinding van de overdracht van verzekeringsrechten
ULU CONT2798
|
|
|
Annex to the application form for signing the dissolution of the transfer of insurance rights
|
Belgium (BE) |
French (FR) |
Non Product Specific |
|
Annex to the application form for signing the dissolution of the transfer of insurance rights
Operational Forms
Avenant au contrat d’assurance-vie – Dissolution de cession de droits
ULU CONT2799
|
|
|
Use this form to declare a status of “Non-U.S. Person”
|
France (FR) |
French (FR) |
Non Product Specific |
|
Use this form to declare a status of “Non-U.S. Person”
Operational Forms
Declaration de statut de « Non-U.S. Person » (Multi-Support)
ULU CONT2755
|
|
|
Use this form to request a change of life cover
|
Finland (FI) |
English (EN) |
Non Product Specific |
|
Use this form to request a change of life cover
Operational Forms
Request for Change of Life Cover
ULU CONT2732
|
|
|
Request for Professional Client Status
|
Sweden (SE) |
English (EN) |
Non Product Specific |
|
Request for Professional Client Status
Operational Forms
Request for Professional Client Status
ULU CONT2733
|
|
|
Addendum to the Personalised Portfolio Bond – Luxembourg
|
Luxembourg (LU), United Kingdom (UK) |
English (EN) |
Non Product Specific |
|
Addendum to the Personalised Portfolio Bond – Luxembourg
Operational Forms
Addendum to Life Assurance Policy (PPB Addendum) – Discretionary Mandates
ULU CONT2688
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for Trusts.
|
Mexico (MX), Spain (ES) |
Spanish (ES) |
Non Product Specific |
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for Trusts.
Operational Forms
Intercambio Automático de Información – Formulario de Declaración para Fideicomisos
ULU CONT2656
|
|
|
Annex to the application form for signing a post-mortem transfer agreement of the rights arising from the contract/policy
|
Belgium (BE) |
French (FR) |
Non Product Specific |
|
Annex to the application form for signing a post-mortem transfer agreement of the rights arising from the contract/policy
Operational Forms
Avenant au contrat d’assurance-vie – Convention de Cession Post Mortem des droits découlant du Contrat
ULU CONT2629
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for Trusts.
|
United Kingdom (UK) |
English (EN) |
Non Product Specific |
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for Trusts.
Operational Forms
Automatic Exchange of Information – Self-Certification Form for Trust
ULU CONT2655
|
|
|
Annex to the application form for signing a post-mortem transfer agreement of the rights arising from the contract/policy
|
Belgium (BE) |
Dutch (NL) |
Non Product Specific |
|
Annex to the application form for signing a post-mortem transfer agreement of the rights arising from the contract/policy
Operational Forms
Bijvoegsel bij de levensverzekeringsovereenkomst – Overeenkomst van Overdracht Post Mortem van de uit de Overeenkomst voortvloeiende rechten
ULU CONT2628
|
|
|
Use this form to nominate beneficiaries
|
Germany (DE) |
German (DE) |
Non Product Specific |
|
Use this form to nominate beneficiaries
Operational Forms
Benennung von Begünstigten für bestehende Policen
ULU CONT2623
|
|
|
Use this form to nominate irrevocable beneficiaries
|
Germany (DE) |
German (DE) |
Non Product Specific |
|
Use this form to nominate irrevocable beneficiaries
Operational Forms
Benennung von unwiderruflichen Begünstigten für bestehende Policen
ULU CONT2624
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for controlling persons.
|
ASIA, Belgium (BE), Cyprus (CY), Finland (FI), France (FR), Germany (DE), Gibraltar (GI), Israel (IL), Luxembourg (LU), Mexico (MX), Norway (NO), Portugal (PT), Spain (ES), Turkey (TR), United Kingdom (UK) |
English (EN) |
Non Product Specific |
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for controlling persons.
Operational Forms
Automatic Exchange of Information – Self-Certification for Controlling Persons
ULU CONT2599
|
|
|
Use this form to perform a choice of law
|
France (FR) |
English (EN), French (FR) |
Non Product Specific |
|
Use this form to perform a choice of law
Operational Forms
Choix de la Loi Applicable / Choice of Law – Capitalisation Contract
ULU CONT2602
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for individual policyholders.
|
ASIA, Belgium (BE), Cyprus (CY), Finland (FI), France (FR), Germany (DE), Gibraltar (GI), Israel (IL), Jersey (JE), Luxembourg (LU), Mexico (MX), Norway (NO), Portugal (PT), Spain (ES), Turkey (TR), United Kingdom (UK) |
English (EN) |
Non Product Specific |
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for individual policyholders.
Operational Forms
Automatic Exchange of Information – Self-Certification for Individuals
ULU CONT2593
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for corporate applications.
|
ASIA, Belgium (BE), Cyprus (CY), Finland (FI), France (FR), Germany (DE), Gibraltar (GI), Luxembourg (LU), Malta (MT), Mexico (MX), Norway (NO), Peru (PE), Portugal (PT), Spain (ES), Turkey (TR), United Kingdom (UK) |
English (EN) |
Non Product Specific |
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for corporate applications.
Operational Forms
Automatic Exchange of Information – Self-Certification for Entities
ULU CONT2596
|
|
|
Addendum to the Personalised Portfolio Bond – Portugal
|
Portugal (PT), United Kingdom (UK) |
English (EN) |
Non Product Specific |
|
Addendum to the Personalised Portfolio Bond – Portugal
Operational Forms
Addendum to Life Assurance Policy (PPB Addendum)
ULU CONT2583
|
|
|
Use this form to perform a choice of law
|
United Kingdom (UK) |
English (EN) |
Non Product Specific |
|
Use this form to perform a choice of law
Operational Forms
Choice of Law (Non-Residents)
ULU CONT2578
|
|
|
Use this form to request an enhanced death benefit – United Kingdom
|
United Kingdom (UK) |
English (EN) |
Non Product Specific |
|
Use this form to request an enhanced death benefit – United Kingdom
Operational Forms
Request for Enhanced Death Benefit
ULU CONT2381
|
|
|
Addendum for Investment Enhancement for the Private Client Portfolio product – United Kingdom
|
United Kingdom (UK) |
English (EN) |
Non Product Specific |
|
Addendum for Investment Enhancement for the Private Client Portfolio product – United Kingdom
Operational Forms
Addendum to Life Assurance Policy – Investment Enhancement
ULU CONT2371
|
|
|
Use this form to nominate beneficiaries
|
Turkey (TR) |
English (EN) |
Non Product Specific |
|
Use this form to nominate beneficiaries
Operational Forms
Beneficiary Nomination
ULU CONT2378
|
|
|
Use this form to perform a choice of law
|
Norway (NO) |
English (EN), Norwegian (NO) |
Non Product Specific |
|
Use this form to perform a choice of law
Operational Forms
Lovvalg / Choice of Law
ULU CONT2360
|
|
|
Use this form to declare a status of “Non-U.S. Person”
|
Italy (IT) |
Italian (IT) |
Non Product Specific |
|
Use this form to declare a status of “Non-U.S. Person”
Operational Forms
Dichiarazione di Possesso della Qualifica di “Non-U.S. Person”
ULU CONT2364
|
|
|
Use this form to perform a choice of law
|
Italy (IT) |
Italian (IT) |
Non Product Specific |
|
Use this form to perform a choice of law
Operational Forms
Dichiarazione di Scelta di Legge / Choice of Law (FOS)
ULU CONT2359
|
|
|
Loan agreement – United Kingdom
|
United Kingdom (UK) |
English (EN) |
Non Product Specific |
|
Loan agreement – United Kingdom
Operational Forms
Loan Agreement
ULU CONT2207
|
|
|
Flexibe Trust Deed form linked to the Wealth Preservation Trust product – United Kingdom
|
United Kingdom (UK) |
English (EN) |
Non Product Specific |
|
Flexibe Trust Deed form linked to the Wealth Preservation Trust product – United Kingdom
Operational Forms
Wealth Preservation Trust – Flexible Trust Deed
ULU CONT2212
|
|
|
Loan Trust agreement; Fixed Interest – United Kingdom
|
United Kingdom (UK) |
English (EN) |
Non Product Specific |
|
Loan Trust agreement; Fixed Interest – United Kingdom
Operational Forms
Loan Trust – Fixed Interest
ULU CONT2205
|
|
|
Discretionary Loan Trust Agreement – United Kingdom
|
United Kingdom (UK) |
English (EN) |
Non Product Specific |
|
Discretionary Loan Trust Agreement – United Kingdom
Operational Forms
Loan Trust – Discretionary
ULU CONT2206
|
|
|
Generic Investment Manager appointment form
|
Spain (ES) |
English (EN), Spanish (ES) |
Selecta Link |
|
Generic Investment Manager appointment form
Operational Forms
Designacion del Asesor / Appointment of the Adviser
ULU CONT2194
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for controlling persons.
|
Norway (NO) |
Norwegian (NO) |
Non Product Specific |
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for controlling persons.
Operational Forms
FATCA Egenklaering / Self Certification
ULU CONT2170-9
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for controlling persons.
|
Italy (IT) |
Italian (IT) |
Non Product Specific |
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for controlling persons.
Operational Forms
FATCA Autocertificazione (FOS)
ULU CONT2170-7
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for controlling persons.
|
Belgium (BE) |
Dutch (NL) |
Non Product Specific |
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for controlling persons.
Operational Forms
FATCA Zelfcertificering
ULU CONT2170-8
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for controlling persons.
|
ASIA, Belgium (BE), France (FR), Germany (DE), Italy (IT), Luxembourg (LU), Mexico (MX), Portugal (PT), Spain (ES), Turkey (TR), United Kingdom (UK) |
English (EN) |
Non Product Specific |
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for controlling persons.
Operational Forms
FATCA Self-Certification
ULU CONT2170-5
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for controlling persons.
|
Mexico (MX), Spain (ES) |
Spanish (ES) |
Non Product Specific |
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for controlling persons.
Operational Forms
FATCA Autocertificación
ULU CONT2170-6
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for controlling persons.
|
France (FR) |
French (FR) |
Liberté, Liberté Capitalisation |
New Policy |
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for controlling persons.
Operational Forms
FATCA Auto-Certification
ULU CONT2170-2
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for controlling persons.
|
Germany (DE) |
German (DE) |
Non Product Specific |
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for controlling persons.
Operational Forms
FATCA Selbstzertifizierung
ULU CONT2170-4
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for controlling persons.
|
Belgium (BE) |
French (FR) |
Non Product Specific |
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for controlling persons.
Operational Forms
FATCA Auto-Certification
ULU CONT2170
|
|
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for controlling persons.
|
Portugal (PT) |
Portuguese (PT) |
Non Product Specific |
|
Please complete this form in order that we can accurately report your policy under the relevant tax information exchange agreements, including Foreign Account Tax Compliance Act (FATCA) and the Common Reporting Standard (CRS) regulations. This form should be used for controlling persons.
Operational Forms
FATCA Autocertificação
ULU CONT2170-10
|
|
|
Annex to the application form for beneficiary nomination
|
Gibraltar (GI) |
English (EN) |
Non Product Specific |
|
Annex to the application form for beneficiary nomination
Operational Forms
Private Client Portfolio – Beneficiary Nomination Form
ULU CONT2073
|
|
|
Addendum for Investment Enhancement for the Private Client Portfolio product – Sweden
|
Sweden (SE), United Kingdom (UK) |
English (EN) |
Non Product Specific |
|
Addendum for Investment Enhancement for the Private Client Portfolio product – Sweden
Operational Forms
Addendum to Life Assurance Policy – Investment Enhancement
ULU CONT2061
|
|
|
Use this form to declare a status of “Non-U.S. Person”
|
Luxembourg (LU) |
English (EN), French (FR) |
Non Product Specific |
|
Use this form to declare a status of “Non-U.S. Person”
Operational Forms
Declaration of “Non-U.S. Person” Status / Declaration de statut de « Non-U.S. Person »
ULU CONT2042
|
|
|
Use this form to declare a status of “Non-U.S. Person” for the Capitalisation Bond product – Luxembourg
|
Luxembourg (LU) |
English (EN), French (FR) |
Non Product Specific |
|
Use this form to declare a status of “Non-U.S. Person” for the Capitalisation Bond product – Luxembourg
Operational Forms
Declaration of “Non-U.S. Person” Status / Declaration de statut de « Non-U.S. Person »
ULU CONT2043
|
|
|
Use this form to declare a status of “Non-U.S. Person” for the Liberté Capitalisation product – France
|
Finland (FI) |
English (EN), Finnish (FI) |
Non Product Specific |
|
Use this form to declare a status of “Non-U.S. Person” for the Liberté Capitalisation product – France
Operational Forms
Vakuutus ”Ei Yhdysvaltalainen Henkilö” Asemasta / Declaration of “Non-U.S. Person” Status
ULU CONT2039
|
|
|
Use this form to declare a status of “Non-U.S. Person”
|
France (FR) |
French (FR) |
Non Product Specific |
|
Use this form to declare a status of “Non-U.S. Person”
Operational Forms
Déclaration de Statut de « Non-U.S. Person »
ULU CONT2040
|
|
|
Trust Deed form linked to the Wealth Preservation Trust product – United Kingdom
|
United Kingdom (UK) |
English (EN) |
Wealth Preservation Trust |
New Policy |
Trust Deed form linked to the Wealth Preservation Trust product – United Kingdom
Operational Forms
Wealth Preservation Trust – Trust Deed
ULU CONT2009
|
|
|
Addendum to the Personalised Portfolio Bond – Sweden
|
Sweden (SE), United Kingdom (UK) |
English (EN) |
Non Product Specific |
|
Addendum to the Personalised Portfolio Bond – Sweden
Operational Forms
Addendum to Life Assurance Policy – Personalised Portfolio Bond
ULU CONT1851
|
|
|
Use this form to nominate beneficiaries
|
Belgium (BE) |
French (FR) |
Non Product Specific |
|
Use this form to nominate beneficiaries
Operational Forms
Désignation des Bénéficiaires
ULU CONT1802
|
|
|
Use this form to nominate beneficiaries
|
Belgium (BE) |
Dutch (NL) |
Non Product Specific |
|
Use this form to nominate beneficiaries
Operational Forms
Benoeming van Begunstigden
ULU CONT1803
|
|
|
Bare Trust form for the Accumulation and Maintenance Plan product – United Kingdom
|
United Kingdom (UK) |
English (EN) |
Accumulation & Maintenance Plan |
New Policy |
Bare Trust form for the Accumulation and Maintenance Plan product – United Kingdom
Operational Forms
Bare Trust – Accumulation & Maintenance Plan
ULU CONT1801
|
|
|
Use this form to perform a choice of law
|
Spain (ES) |
English (EN), Spanish (ES) |
Non Product Specific |
|
Use this form to perform a choice of law
Operational Forms
Elección de Ley Aplicable al Contrato / Choice of Law
ULU CONT1796
|
|
|
Use this form to perform a choice of law
|
Sweden (SE) |
English (EN), Swedish (SV) |
Non Product Specific |
|
Use this form to perform a choice of law
Operational Forms
Deklaration om Val av Tillämplig Lag / Choice of Law
ULU CONT1793
|
|
|
Use this form to perform a choice of law
|
France (FR) |
English (EN), French (FR) |
Non Product Specific |
|
Use this form to perform a choice of law
Operational Forms
Choix de la Loi Applicable / Choice of Law
ULU CONT1794
|
|
|
Use this form to perform a choice of law
|
Belgium (BE) |
Dutch (NL), English (EN) |
Non Product Specific |
|
Use this form to perform a choice of law
Operational Forms
Keuze van de Toepasbare Wet / Choice of Law
ULU CONT1791
|
|
|
Use this form to perform a choice of law
|
Finland (FI) |
English (EN), Finnish (FI) |
Non Product Specific |
|
Use this form to perform a choice of law
Operational Forms
Lainvalinta / Choice of Law
ULU CONT1792
|
|
|
Use this form to perform a choice of law
|
Belgium (BE) |
English (EN), French (FR) |
Non Product Specific |
|
Use this form to perform a choice of law
Operational Forms
Choix de la Loi Applicable / Choice of Law
ULU CONT1790
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Use this form to declare a status of “Non-U.S. Person”
|
Sweden (SE) |
English (EN), Swedish (SV) |
Non Product Specific |
|
Use this form to declare a status of “Non-U.S. Person”
Operational Forms
Deklaration om Status som ”Icke-Amerikansk Person” / Declaration of “Non-U.S. Person” Status
ULU CONT1637
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Use this form to declare a status of “Non-U.S. Person”
|
Finland (FI) |
English (EN), Finnish (FI) |
Non Product Specific |
|
Use this form to declare a status of “Non-U.S. Person”
Operational Forms
Vakuutus ”Ei Yhdysvaltalainen Henkilö” Asemasta / Declaration of “Non-U.S. Person” Status
ULU CONT1638
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|
Use this form to declare a status of “Non-U.S. Person”
|
Belgium (BE) |
Dutch (NL) |
Non Product Specific |
|
Use this form to declare a status of “Non-U.S. Person”
Operational Forms
Verklaring omtrent „Non-U.S. Person”-status
ULU CONT1634
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Use this form to declare a status of “Non-U.S. Person”
|
Spain (ES) |
English (EN), Spanish (ES) |
Non Product Specific |
|
Use this form to declare a status of “Non-U.S. Person”
Operational Forms
Declaración como « Persona no Estadounidense »
ULU CONT1636
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|
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Use this form to declare a status of “Non-U.S. Person”
|
Belgium (BE) |
French (FR) |
Non Product Specific |
|
Use this form to declare a status of “Non-U.S. Person”
Operational Forms
Déclaration de Statut de « Non-U.S. Person »
ULU CONT1632
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|
Use this form to declare a status of “Non-U.S. Person”
|
Germany (DE) |
German (DE) |
Non Product Specific |
|
Use this form to declare a status of “Non-U.S. Person”
Operational Forms
Erklärung bezüglich des Status „Nicht-US -Person“
ULU CONT1633
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|
|
Tax notes linked to the Wealth Preservation Trust product – United Kingdom
|
United Kingdom (UK) |
English (EN) |
Wealth Preservation Trust |
New Policy |
Tax notes linked to the Wealth Preservation Trust product – United Kingdom
Operational Forms
Wealth Preservation Trust – Tax Notes
ULU CONT1492
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|
Use this form to appoint an Investment Manager/Advisor – Norway
|
Norway (NO) |
English (EN) |
Non Product Specific |
|
Use this form to appoint an Investment Manager/Advisor – Norway
Operational Forms
Utnevnelse av Forsikringstakeren til Investeringsforvalter / Appointment of the Policyholder as Investment Manager
ULU CONT1452
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|
|
Use this form to appoint an Investment Manager/Advisor – Sweden
|
Sweden (SE) |
English (EN), Swedish (SV) |
Non Product Specific |
|
Use this form to appoint an Investment Manager/Advisor – Sweden
Operational Forms
Appointment of the Policyholder(s) as Investment Manager – Swedish Market
ULU CONT1452-2
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|
|
Use this form to appoint an Investment Manager/Advisor
|
United Kingdom (UK) |
English (EN) |
Non Product Specific |
|
Use this form to appoint an Investment Manager/Advisor
Operational Forms
Change Request to Discretionary Mandate
ULU CONT1318
|
|
|
Use this form to request the appointment of a discretionary Investment Manager
|
United Kingdom (UK) |
English (EN) |
Non Product Specific |
|
Use this form to request the appointment of a discretionary Investment Manager
Operational Forms
Private Client Portfolio – Discretionary Management Form – UK
ULU CONT1412
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|
|
Change of Life Cover form
|
Sweden (SE) |
English (EN) |
Non Product Specific |
|
Change of Life Cover form
Operational Forms
Request for Change of Life Cover
ULU CONT1129
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|
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Confirmation of Client contact details used for the Electronic Signing of documents
|
France (FR) |
French (FR) |
Non Product Specific |
|
Confirmation of Client contact details used for the Electronic Signing of documents
Operational Forms
Confirmation des coordonnées du Client utilisées pour la signature électronique des documents
ULU CONNECT1057
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|
|
Confirmation of Client contact details used for the Electronic Signing of documents
|
Italy (IT) |
Italian (IT) |
Non Product Specific |
|
Confirmation of Client contact details used for the Electronic Signing of documents
Operational Forms
Conferma dei dati di contatto del cliente utilizzati per la firma elettronica dei documenti
ULU CONNECT1058
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|
|
Confirmation of Client contact details used for the Electronic Signing of documents
|
Norway (NO) |
English (EN), Norwegian (NO) |
Non Product Specific |
|
Confirmation of Client contact details used for the Electronic Signing of documents
Operational Forms
Bekreftelse av kundens kontaktinformasjon brukt for elektronisk signering av dokumenter / Confirmation of Client contact details used for the Electronic Signing of documents
ULU CONNECT1055
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|
|
Confirmation of Client contact details used for the Electronic Signing of documents
|
Luxembourg (LU) |
English (EN), French (FR) |
Non Product Specific |
|
Confirmation of Client contact details used for the Electronic Signing of documents
Operational Forms
Confirmation of Client contact details used for the Electronic Signing of documents / Confirmation des coordonnées du Client utilisées pour la signature électronique des documents
ULU CONNECT1056
|
|
|
Confirmation of Client contact details used for the Electronic Signing of documents
|
Sweden (SE) |
English (EN), Swedish (SV) |
Non Product Specific |
|
Confirmation of Client contact details used for the Electronic Signing of documents
Operational Forms
Bekräftelse av de kontaktuppgifter till kunden som används för elektronisk signering av dokument / Confirmation of Client contact details used for the Electronic Signing of documents
ULU CONNECT1053
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|
|
Confirmation of Client contact details used for the Electronic Signing of documents
|
Finland (FI) |
English (EN), Finnish (FI) |
Non Product Specific |
|
Confirmation of Client contact details used for the Electronic Signing of documents
Operational Forms
Asiakirjojen sähköisessä allekirjoittamisessa käytettävien asiakkaan yhteystietojen vahvistaminen / Confirmation of Client contact details used for the Electronic Signing of documents
ULU CONNECT1054
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|
|
Confirmation of Client contact details used for the Electronic Signing of documents
|
Mexico (MX), Spain (ES) |
English (EN), Spanish (ES) |
Non Product Specific |
|
Confirmation of Client contact details used for the Electronic Signing of documents
Operational Forms
Confirmación de los datos de contacto del cliente utilizados para la firma electrónica de documentos / Confirmation of Client contact details used for the Electronic Signing of documents
ULU CONNECT1051
|
|
|
Confirmation of Client contact details used for the Electronic Signing of documents
|
Portugal (PT) |
English (EN), Portuguese (PT) |
Non Product Specific |
|
Confirmation of Client contact details used for the Electronic Signing of documents
Operational Forms
Confirmação dos dados de contato do Cliente utilizados para a Assinatura Eletrónica de Documentos / Confirmation of Client contact details used for the Electronic Signing of documents
ULU CONNECT1052
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|
|
Confirmation of Client contact details used for the Electronic Signing of documents
|
Belgium (BE) |
Dutch (NL) |
Non Product Specific |
|
Confirmation of Client contact details used for the Electronic Signing of documents
Operational Forms
Bevestiging van contactgegevens van de Cliënt die worden gebruikt voor de elektronische ondertekening van documenten
ULU CONNECT1049
|
|
|
Confirmation of Client contact details used for the Electronic Signing of documents
|
Germany (DE) |
German (DE) |
Non Product Specific |
|
Confirmation of Client contact details used for the Electronic Signing of documents
Operational Forms
Bestätigung der für die elektronische Unterzeichnung von Dokumenten verwendeten Kundenkontaktdaten
ULU CONNECT1050
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|
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Confirmation of Client contact details used for the Electronic Signing of documents
|
ASIA, Cyprus (CY), Gibraltar (GI), Greece (GR), Israel (IL), Jersey (JE), United Kingdom (UK) |
English (EN) |
Non Product Specific |
|
Confirmation of Client contact details used for the Electronic Signing of documents
Operational Forms
Confirmation of Client contact details used for the Electronic Signing of documents
ULU CONNECT1046
|
|
|
Confirmation of Client contact details used for the Electronic Signing of documents
|
Belgium (BE) |
French (FR) |
Non Product Specific |
|
Confirmation of Client contact details used for the Electronic Signing of documents
Operational Forms
Confirmation des coordonnées du Client utilisées pour la signature électronique des documents
ULU CONNECT1048
|