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|
Assignment of policies form.For assigning policies to individuals only.
|
United Kingdom (UK) |
English (EN) |
Delegation, Selection |
FOS |
Assignment of policies form.For assigning policies to individuals only.
Operational Forms
Assignment of Policies form
ALE PR 0017
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|
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Utmost PanEurope Policyholders resident outside of Ireland must make the declarations contained in this form in order to receive payments without the deduction of Irish tax if they hold a policy issued by an Irish insurer.
|
Europe Expat, Rest of the World, United Kingdom (UK) |
English (EN) |
Non Product Specific |
FOS |
Utmost PanEurope Policyholders resident outside of Ireland must make the declarations contained in this form in order to receive payments without the deduction of Irish tax if they hold a policy issued by an Irish insurer.
Operational Forms
UPE Declaration of Residence Outside of Ireland
UPEQ PR | 20900
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This form should be used for policies subject to the laws of Belgium, Cyprus, Spain or Sweden. Complete this form if you are the policyholder and request for the mutual stipulations wording to be applied to your policy and also wish to nominate the beneficiary(ies) listed in the appointment of beneficiary(ies) for your policy.
|
Belgium (BE), Cyprus (CY), Spain (ES), Sweden (SE) |
English (EN) |
Non Product Specific |
FOS |
This form should be used for policies subject to the laws of Belgium, Cyprus, Spain or Sweden. Complete this form if you are the policyholder and request for the mutual stipulations wording to be applied to your policy and also wish to nominate the beneficiary(ies) listed in the appointment of beneficiary(ies) for your policy.
Operational Forms
Mutual Stipulations and Nomination Form Irish jointly Owned Products
UPEQ PR | 21042
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This form can be used if you wish to appoint a firm to act as a discretionary fund advisor on your French Executive Portfolio.
|
Europe Expat |
English (EN) |
Non Product Specific |
|
This form can be used if you wish to appoint a firm to act as a discretionary fund advisor on your French Executive Portfolio.
Operational Forms
French Executive Portfolio Appointment of Fund Adviser Form
UPEQ PR | 20844
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|
|
This form is for use with Utmost PanEurope dac. Omega and Integra policies.
|
Europe Expat |
English (EN) |
Non Product Specific |
|
This form is for use with Utmost PanEurope dac. Omega and Integra policies.
Operational Forms
Payment Instruction Form
UPEQ PR | 19967
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|
|
This is a Beneficiary Nomination Request form for non UK resident Policyholders for Utmost PanEurope dac
|
Europe Expat |
English (EN) |
Non Product Specific |
FOS |
This is a Beneficiary Nomination Request form for non UK resident Policyholders for Utmost PanEurope dac
Operational Forms
Beneficiary Nomination Request for non UK residents
UPEQ PR | 14896
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|
|
Complete this form if you wish for the Loan Appendix contained in this document to be incorporated into your policy.
|
Sweden (SE) |
English (EN) |
Swedish Executive Portfolio – PRIIPs |
|
Complete this form if you wish for the Loan Appendix contained in this document to be incorporated into your policy.
Operational Forms
Swedish Executive Portfolio Loan Appendix Form
UPEQ PR | 14654
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|
|
Detta formulär kan användas för att begära att överföra vårdnad om tillgångar.This form can be used to request to transfer custodianship of assets.
|
Sweden (SE) |
English (EN), Swedish (SV) |
Non Product Specific, Swedish Executive Portfolio – PRIIPs |
FOS |
Detta formulär kan användas för att begära att överföra vårdnad om tillgångar.This form can be used to request to transfer custodianship of assets.
Operational Forms
Begäran om byte av Förvaltare
UPEQ PR | 06987
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|
|
This form enables you to switch your investments or change the funds in which your future regular investments are invested.
|
Europe Expat |
English (EN) |
Non Product Specific |
|
This form enables you to switch your investments or change the funds in which your future regular investments are invested.
Operational Forms
Switch Form
UPEQ PR | 03361
|
|
|
This form can be used to change the beneficiary of your Apex France policy.
|
France (FR) |
English (EN) |
Apex (France) |
FOS |
This form can be used to change the beneficiary of your Apex France policy.
Operational Forms
Change of Beneficiary Form for Apex France with Utmost PanEurope dac
UPE_WS PR 00120
|
|
|
This form can be used to nominate an Investment Advisor for your Apex France policy.
|
France (FR) |
English (EN) |
Apex (France) |
FOS |
This form can be used to nominate an Investment Advisor for your Apex France policy.
Operational Forms
Nomination of Investment Adviser Form for Apex France with Utmost PanEurope dac
UPE_WS PR 00119
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|
|
Future vakuutuksenottajan ja vakuutetun välinen sopimus, jolla voidaan sopiva vakuutetun työntekijän oikeuksista vakuutukseen.
|
Finland (FI) |
Finnish (FI) |
Future |
FOS |
Future vakuutuksenottajan ja vakuutetun välinen sopimus, jolla voidaan sopiva vakuutetun työntekijän oikeuksista vakuutukseen.
Operational Forms
Future Vakuutuksenottajan ja Vakuutetun välinen sopimus
UPE_WS PR 00096
|
|
|
Operational Forms PWP España Formulario de cambio de nombre y domicilio UPE_WS PR 00058
|
Spain (ES) |
Spanish (ES) |
Private Wealth Portfolio - Spain |
|
Operational Forms
PWP España Formulario de cambio de nombre y domicilio
UPE_WS PR 00058
|
|
|
This form should be used for policies held on the Open Architecture basis only without a Discretionary Fund Manager or Platform arrangement.
|
Portugal (PT) |
English (EN) |
Apex (Portugal) |
FOS |
This form should be used for policies held on the Open Architecture basis only without a Discretionary Fund Manager or Platform arrangement.
Operational Forms
Apex Portugal Open Architecture Dealing Instruction Form
UPE_WS PR 00052
|
|
|
Before completing this form you should discuss your personal circumstances with your Insurance Intermediary to ensure that the Life Insurance Policy will continue to meet your needs on your return to the UK.
|
Portugal (PT) |
English (EN) |
Apex (Portugal) |
FOS |
Before completing this form you should discuss your personal circumstances with your Insurance Intermediary to ensure that the Life Insurance Policy will continue to meet your needs on your return to the UK.
Operational Forms
Apex Portugal Notification of intention to return to the UK
UPE_WS PR 00046
|
|
|
This form can be used to nominate or replace an existing Discretionary Fund Manager (DFM) or Platform arrangement.
|
Portugal (PT) |
English (EN) |
Apex (Portugal) |
FOS |
This form can be used to nominate or replace an existing Discretionary Fund Manager (DFM) or Platform arrangement.
Operational Forms
Apex Portugal – Nomination of Discretionary Fund Manager or Platform Agreement
UPE_WS PR 00042
|
|
|
This form should only be completed by the Policyholder where a Discretionary Fund Manager or Platform is not appointed and the Policyholder wish to authorise the Insurance Intermediary to execute external fund choices on their behalf.
|
Portugal (PT) |
English (EN) |
Apex (Portugal) |
FOS |
This form should only be completed by the Policyholder where a Discretionary Fund Manager or Platform is not appointed and the Policyholder wish to authorise the Insurance Intermediary to execute external fund choices on their behalf.
Operational Forms
Apex Portugal – Insurance Intermediary Fund Authorisation form
UPE_WS PR 00036
|
|
|
For assigning policies to individuals only.
|
Portugal (PT) |
English (EN) |
Apex (Portugal) |
FOS |
For assigning policies to individuals only.
Operational Forms
Apex Portugal – Assignment of Policies
UPE_WS PR 00032
|
|
|
This form can be used to appoint an Insurance Intermediary for Apex Portugal policies.
|
Portugal (PT) |
English (EN) |
Apex (Portugal) |
FOS |
This form can be used to appoint an Insurance Intermediary for Apex Portugal policies.
Operational Forms
Apex Portugal – Appointment of insurance intermediary
UPE_WS PR 00027
|
|
|
This form can be used to request an overdraft clearance for your Apex Portugal Dealing Account.
|
Portugal (PT) |
English (EN) |
Apex (Portugal) |
FOS |
This form can be used to request an overdraft clearance for your Apex Portugal Dealing Account.
Operational Forms
Apex Portugal Dealing Account Overdraft Clearance Instruction form
UPE_WS PR 00029
|
|
|
This form can be used to change the beneficiary of your Apex Portugal policy.
|
Portugal (PT) |
English (EN) |
Apex (Portugal) |
FOS |
This form can be used to change the beneficiary of your Apex Portugal policy.
Operational Forms
Apex Portugal – Change of Beneficiary Form
UPE_WS PR 00022
|
|
|
UPE Deed of Assignment
|
|
English (EN) |
Non Product Specific |
FOS |
UPE Deed of Assignment
Operational Forms
UPE Deed of Assignment
UPE_WS | 4466
|
|
|
Valtakirja.
|
Finland (FI) |
Finnish (FI) |
Advantage Corporate (Closed), Future, Professional Portfolio, Target, Vision (Closed), Wealth Portfolio Finland |
FOS |
Valtakirja.
Operational Forms
Valtakirja
UPE_WS | 4433
|
|
|
Modulo da compilarsi a cura dell’Investitore-Contraente per il trasferimento del titolo, della titolarità e di tutti i diritti derivanti dalla polizza in capo ad altra persona o ente.
|
Italy (IT) |
Italian (IT) |
Private Wealth Portfolio - Italy |
FOS |
Modulo da compilarsi a cura dell’Investitore-Contraente per il trasferimento del titolo, della titolarità e di tutti i diritti derivanti dalla polizza in capo ad altra persona o ente.
Operational Forms
PWP Italia Modulo di notifica della cessione della polizza
UPE_WS | 4392
|
|
|
Modulo per il facsimile di firma dell’Investitore-Contraente, al fine di consentire il controllo della firma e chiarire i motivi di eventuali diversità rispetto al modulo di proposta o al documento di identità.
|
Italy (IT) |
Italian (IT) |
Private Wealth Portfolio - Italy |
FOS |
Modulo per il facsimile di firma dell’Investitore-Contraente, al fine di consentire il controllo della firma e chiarire i motivi di eventuali diversità rispetto al modulo di proposta o al documento di identità.
Operational Forms
PWP Italia Modulo per l’Esemplare di Firma
UPE_WS | 4391
|
|
|
Modulo da compilarsi a cura dell’Investitore-Contraente per la dichiarazione di mancata ricezione e/o smarrimento della Scheda di Polizza.
|
Italy (IT) |
Italian (IT) |
Private Wealth Portfolio - Italy |
FOS |
Modulo da compilarsi a cura dell’Investitore-Contraente per la dichiarazione di mancata ricezione e/o smarrimento della Scheda di Polizza.
Operational Forms
PWP Italia Dichiarazione di mancata ricezione/Smarrimento della Scheda di Polizza
UPE_WS | 4385
|
|
|
Modulo, da compilarsi a cura dell’Investitore-Contraente, per la modifica di nome, indirizzo o indirizzo email collegati alla polizza per PWP Italia.
|
Italy (IT) |
Italian (IT) |
Private Wealth Portfolio - Italy |
FOS |
Modulo, da compilarsi a cura dell’Investitore-Contraente, per la modifica di nome, indirizzo o indirizzo email collegati alla polizza per PWP Italia.
Operational Forms
PWP Italia Modulo Variazione Nome, Indirizzo e Indirizzo Email
UPE_WS | 4382
|
|
|
Modulo da compilarsi a cura dell’Investitore-Contraente per effettuare il versamento di Premi Aggiuntivi in polizza PWP Italia.
|
Italy (IT) |
Italian (IT) |
Private Wealth Portfolio - Italy |
FOS |
Modulo da compilarsi a cura dell’Investitore-Contraente per effettuare il versamento di Premi Aggiuntivi in polizza PWP Italia.
Operational Forms
PWP Italia Modulo per il versamento del Premio Aggiuntivo
UPE_WS | 4072
|
|
|
Modulo con cui l’Investitore-Contraente autorizza Utmost PanEurope a modificare la strategia di investimento applicata alla Polizza per PWP Italia.
|
Italy (IT) |
Italian (IT) |
Private Wealth Portfolio - Italy |
FOS |
Modulo con cui l’Investitore-Contraente autorizza Utmost PanEurope a modificare la strategia di investimento applicata alla Polizza per PWP Italia.
Operational Forms
PWP Italia Modulo per la modifica della Strategia d’Investimento
UPE_WS | 4073
|
|
|
Tällä lomakkeella voit pyytää vakuutusneuvojan palkkiota Target ja Future vakuutuksille.
|
Finland (FI) |
Finnish (FI) |
Future, Target |
FOS |
Tällä lomakkeella voit pyytää vakuutusneuvojan palkkiota Target ja Future vakuutuksille.
Operational Forms
Target ja Future Vakuutusedustajan palvelupalkkio-lomake
UPE_WS | 05327
|
|
|
Tätä asiakirjaa voidaan käyttää vakuutuksen luovuttamiseen kolmannelle osapuolelle.
|
Finland (FI) |
Finnish (FI) |
Advantage Corporate (Closed), Future, Professional Portfolio, Target, Vision (Closed), Wealth Portfolio Finland |
|
Tätä asiakirjaa voidaan käyttää vakuutuksen luovuttamiseen kolmannelle osapuolelle.
Operational Forms
Luovutusilmoituslomake
UPE_WS | 05078
|
|
|
Tällä lomakkeella voidaan pyytää palvelumaksun palkkion käyttöönottoa Wealth Portfolio Finland ja Professional Portfolio vakuutuksille.
|
Finland (FI) |
English (EN), Finnish (FI) |
Professional Portfolio, Wealth Portfolio Finland |
FOS |
Tällä lomakkeella voidaan pyytää palvelumaksun palkkion käyttöönottoa Wealth Portfolio Finland ja Professional Portfolio vakuutuksille.
Operational Forms
Palvelupalkkio-lomake
UPE_WS | 05008
|
|
|
Este formulário deve ser preenchido por todos os tomadores de seguro se pretenderem ceder o contrato a outra pessoa ou entidade.
|
Portugal (PT) |
Portuguese (PT) |
Private Wealth Portfolio - Portugal |
|
Este formulário deve ser preenchido por todos os tomadores de seguro se pretenderem ceder o contrato a outra pessoa ou entidade.
Operational Forms
Formulário de notificação de rescisão de posição contratual
UPE_WS | 04733
|
|
|
Notice of Assignment Form for Private Wealth Portfolio UK
|
United Kingdom (UK) |
English (EN) |
Private Wealth Portfolio - UK |
FOS |
Notice of Assignment Form for Private Wealth Portfolio UK
Operational Forms
Notice of Assignment Form
UPE_WS | 04674
|
|
|
Operational Forms PWP España Formulario de Notificación de Prenda UPE_WS | 04585
|
Spain (ES) |
Spanish (ES) |
Private Wealth Portfolio - Spain |
|
Operational Forms
PWP España Formulario de Notificación de Prenda
UPE_WS | 04585
|
|
|
Operational Forms PWP España Formulario de Prima Adicional UPE_WS | 04500
|
Spain (ES) |
Spanish (ES) |
Private Wealth Portfolio - Spain |
|
Operational Forms
PWP España Formulario de Prima Adicional
UPE_WS | 04500
|
|
|
Tätä lomaketta käytetään arvopaperisiirtojen yhteydessä tarvittaessa.
|
Finland (FI) |
English (EN), Finnish (FI) |
Professional Portfolio, Wealth Portfolio Finland |
FOS |
Tätä lomaketta käytetään arvopaperisiirtojen yhteydessä tarvittaessa.
Operational Forms
Arvopaperisiirto
UPE_WS | 04434
|
|
|
Tällä lomakkeella vakuutusedustaja voi rekisteröityä verkkopalveluumme.
|
Finland (FI) |
English (EN), Finnish (FI) |
Advantage Corporate (Closed), Future, Professional Portfolio, Target, Vision (Closed), Wealth Portfolio Finland |
FOS |
Tällä lomakkeella vakuutusedustaja voi rekisteröityä verkkopalveluumme.
Operational Forms
Rekisteröityminen Service Centre verkkopalveluun vakuutusedustajana
UPE_WS | 04431
|
|
|
Tällä lomakkeella vakuutuksenottajat voivat rekisteröityä verkkopalveluumme.
|
Finland (FI) |
English (EN), Finnish (FI) |
Advantage Corporate (Closed), Future, Professional Portfolio, Target, Vision (Closed), Wealth Portfolio Finland |
FOS |
Tällä lomakkeella vakuutuksenottajat voivat rekisteröityä verkkopalveluumme.
Operational Forms
Rekisteröityminen Service Centre verkkopalveluun
UPE_WS | 04432
|
|
|
Tätä lomaketta voidaan käyttää, jos vakuutuksenottaja haluaa ottaa vakuutusmaksuvapaan tai palauttaa säännöllisen vakuutusmaksunsa Vision tai Advantage vakuutuksille.
|
Finland (FI) |
English (EN), Finnish (FI) |
Advantage Corporate (Closed), Future, Target, Vision (Closed) |
FOS |
Tätä lomaketta voidaan käyttää, jos vakuutuksenottaja haluaa ottaa vakuutusmaksuvapaan tai palauttaa säännöllisen vakuutusmaksunsa Vision tai Advantage vakuutuksille.
Operational Forms
Vision ja Advantage Vakuutusmaksuvapaa ja säännöllisten vakuutusmaksujen uudelleenaktivointi
UPE_WS | 04430
|
|
|
Lomake jolla vakuutus voidaan pantata.
|
Finland (FI) |
English (EN), Finnish (FI) |
Advantage Corporate (Closed), Professional Portfolio, Vision (Closed), Wealth Portfolio Finland |
FOS |
Lomake jolla vakuutus voidaan pantata.
Operational Forms
Ilmoitus vakuutuksen panttaamisesta
UPE_WS | 04429
|
|
|
Tällä lomakkeella voidaan antaa kolmannelle osapuolelle oikeus valita sijoituskohteita Vision, Advantage, Target ja Future vakuutuksille.
|
Finland (FI) |
English (EN), Finnish (FI) |
Advantage Corporate (Closed), Future, Target, Vision (Closed) |
FOS |
Tällä lomakkeella voidaan antaa kolmannelle osapuolelle oikeus valita sijoituskohteita Vision, Advantage, Target ja Future vakuutuksille.
Operational Forms
Sijoituspäätösvallan siirtolomake
UPE_WS | 04428
|
|
|
Lomake, jolla edunsaajia voidaan muuttaa/nimittää.
|
Finland (FI) |
English (EN), Finnish (FI) |
Advantage Corporate (Closed), Professional Portfolio, Vision (Closed), Wealth Portfolio Finland |
FOS |
Lomake, jolla edunsaajia voidaan muuttaa/nimittää.
Operational Forms
Edunsaajamääräys
UPE_WS | 04411
|
|
|
The Tax Declaration and Self-Certification form should be completed in order to 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 investors only.
|
Finland (FI) |
English (EN), Finnish (FI) |
Advantage Corporate (Closed), Professional Portfolio, Vision (Closed), Wealth Portfolio Finland |
FOS |
The Tax Declaration and Self-Certification form should be completed in order to 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 investors only.
Operational Forms
Ilmoitus Verosääntöjen Noudattamisesta Yksityisasiakkaille (Tax Declaration and Self-Certification for Individuals) – Bilingual FI/EN
UPE_WS | 04409
|
|
|
Lomake osoitteenmuutoksesta ilmoittamiseksi.
|
Finland (FI) |
English (EN), Finnish (FI) |
Advantage Corporate (Closed), Professional Portfolio, Vision (Closed), Wealth Portfolio Finland |
FOS |
Lomake osoitteenmuutoksesta ilmoittamiseksi.
Operational Forms
Osoitteenmuutos
UPE_WS | 04408
|
|
|
Operational Forms PWP Portugal Formulário de Alteração de Nome e Endereço UPE_WS | 04377
|
Portugal (PT) |
Portuguese (PT) |
Private Wealth Portfolio - Portugal |
|
Operational Forms
PWP Portugal Formulário de Alteração de Nome e Endereço
UPE_WS | 04377
|
|
|
Operational Forms PWP Portugal Formulário de Nomeação de Beneficiário UPE_WS | 04376
|
Portugal (PT) |
Portuguese (PT) |
Compass (Closed), Compass DFM (Closed), Private Wealth Portfolio - Portugal |
|
Operational Forms
PWP Portugal Formulário de Nomeação de Beneficiário
UPE_WS | 04376
|
|
|
Operational Forms Notice of Pledge Form – PWP Portugal Formulário de Notificação de Garantia UPE_WS | 04373
|
Portugal (PT) |
Portuguese (PT) |
Private Wealth Portfolio - Portugal |
|
Operational Forms
Notice of Pledge Form – PWP Portugal Formulário de Notificação de Garantia
UPE_WS | 04373
|
|
|
Lomake, jolla muuttunut nimikirjoitus voidaan vahvistaa.
|
Finland (FI) |
English (EN), Finnish (FI) |
Advantage Corporate (Closed), Future, Professional Portfolio, Target, Vision (Closed), Wealth Portfolio Finland |
FOS |
Lomake, jolla muuttunut nimikirjoitus voidaan vahvistaa.
Operational Forms
Nimikirjoituksen Vahvistaminen Käsialanäyte
UPE_WS | 04324
|
|
|
Lomake jatkuvien vakuutusmaksujen summan muuttamiseen ja/tai lisämaksujen tekemiseen.
|
Finland (FI) |
English (EN), Finnish (FI) |
Advantage Corporate (Closed), Professional Portfolio, Vision (Closed) |
FOS |
Lomake jatkuvien vakuutusmaksujen summan muuttamiseen ja/tai lisämaksujen tekemiseen.
Operational Forms
Jatkuvan maksun muutos ja ylimääräiset kertamaksut
UPE_WS | 04289
|
|
|
Lomake kaupankäyntiohjeiden antamiseen Wealth Portfolio Finland ja Professional Portfolio vakuutuksille.
|
Finland (FI) |
English (EN), Finnish (FI) |
Professional Portfolio, Wealth Portfolio Finland |
FOS |
Lomake kaupankäyntiohjeiden antamiseen Wealth Portfolio Finland ja Professional Portfolio vakuutuksille.
Operational Forms
Kaupankäyntiohjeet
UPE_WS | 04288
|
|
|
Lomake rahastojen vaihtoon tai uudelleenohjaukseen Vision ja Advantage vakuutuksille.
|
Finland (FI) |
English (EN), Finnish (FI) |
Vision (Closed) |
FOS |
Lomake rahastojen vaihtoon tai uudelleenohjaukseen Vision ja Advantage vakuutuksille.
Operational Forms
Vision ja Advantage Finland Rahastojen vaihto tai vakuutusmaksun uudelleenohjaus
UPE_WS | 04285
|
|
|
ELÄKE-ETUUSMAKSULOMAKE (PENSION BENEFIT PAYMENT FORM) for Future /Advantage (Corporate)
|
Finland (FI) |
English (EN), Finnish (FI) |
Future |
|
ELÄKE-ETUUSMAKSULOMAKE (PENSION BENEFIT PAYMENT FORM) for Future /Advantage (Corporate)
Operational Forms
ELÄKE-ETUUSMAKSULOMAKE (PENSION BENEFIT PAYMENT FORM)
UPE PR 12869
|
|
|
The Tax Declaration and Self-Certification form should be completed in order to 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 Entity investors such as, companies, corporate trusts or foundations.
|
Finland (FI) |
English (EN), Finnish (FI) |
Non Product Specific |
FOS |
The Tax Declaration and Self-Certification form should be completed in order to 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 Entity investors such as, companies, corporate trusts or foundations.
Operational Forms
Ilmoitus Verosääntöjen Noudattamisesta Oikeushenkilöille (Tax Declaration and Self-Certification for Entity Investors) Bilingual FI/EN
UPE PR 12865
|
|
|
Il vous a été demandé de remplir ce formulaire afin que la compagnie concernée puisse déclarer correctement votre contrat dans le cadre des accords d’échange d’informations fiscales, y compris FATCA et CRS.Ce formulaire doit être signé par la personne appropriée comme indiqué ci-dessous :› Pour une entreprise – Une personne qui a le pouvoir de signer, par exemple un dirigeant ou un administrateur d’une entreprise.
|
France (FR) |
French (FR) |
Non Product Specific |
FOS |
Il vous a été demandé de remplir ce formulaire afin que la compagnie concernée puisse déclarer correctement votre contrat dans le cadre des accords d’échange d’informations fiscales, y compris FATCA et CRS.Ce formulaire doit être signé par la personne appropriée comme indiqué ci-dessous :› Pour une entreprise – Une personne qui a le pouvoir de signer, par exemple un dirigeant ou un administrateur d’une entreprise.
Operational Forms
Déclaration Fiscale et Auto certification pour les Investisseurs Personnes Morales
UPE PR 12861
|
|
|
This form is to be completed if you wish to change the discretionary investment strategies underlying your Utmost PanEurope dac Policy either in isolation or in association with an additional premium.
|
Chile (CL), Mexico (MX), United Kingdom (UK) |
English (EN) |
Private Wealth Portfolio - UK |
FOS |
This form is to be completed if you wish to change the discretionary investment strategies underlying your Utmost PanEurope dac Policy either in isolation or in association with an additional premium.
Operational Forms
Change of Discretionary Investment Strategy Form
UPE PR 12850
|
|
|
Ce formulaire est destiné aux clients d’Utmost PanEurope dac qui souhaitent nous informer de toute modification de leurs données personnelles, telles que le nom, le spécimen de signature, l’adresse, l’adresse e-mail ou le numéro de téléphone.
|
France (FR) |
English (EN) |
Non Product Specific |
FOS |
Ce formulaire est destiné aux clients d’Utmost PanEurope dac qui souhaitent nous informer de toute modification de leurs données personnelles, telles que le nom, le spécimen de signature, l’adresse, l’adresse e-mail ou le numéro de téléphone.
Operational Forms
Formulaire de Changement de Coordonnées Personnelles
UPE PR 12836
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This Utmost PanEurope dac form is for completion by all policyholders, if they wish to pledge their policy to a pledgee/pledge creditor as security.
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Chile (CL), Europe Expat, Italy (IT), Mexico (MX), Portugal (PT), Spain (ES), United Kingdom (UK) |
English (EN) |
Advantage Corporate (Closed), Apex (France), Apex (Portugal), Compass (Closed), Non Product Specific, Private Wealth Portfolio - Italy, Private Wealth Portfolio - Portugal, Private Wealth Portfolio - Spain, Private Wealth Portfolio - UK, Private Wealth Portfolio (PWP) France |
FOS |
This Utmost PanEurope dac form is for completion by all policyholders, if they wish to pledge their policy to a pledgee/pledge creditor as security.
Operational Forms
UPE Notification of Pledge Form
UPE PR 12834
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|
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Formulaire De Demande De Versement Complementaire
|
France (FR) |
French (FR) |
Private Wealth Portfolio (PWP) France |
FOS |
Formulaire De Demande De Versement Complementaire
Operational Forms
Private Wealth Portfolio France Formulaire De Demande De Versement Complementaire
UPE PR 12822
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If you are an Utmost PanEurope dac client and you pay regular premiums into your European Capital Account, European Pensions Account or European Savings Account in Pound Sterling, regardless of your current payment method, you can use the Pay-By-Link service.
|
Europe Expat, United Kingdom (UK) |
English (EN) |
Non Product Specific |
FOS |
If you are an Utmost PanEurope dac client and you pay regular premiums into your European Capital Account, European Pensions Account or European Savings Account in Pound Sterling, regardless of your current payment method, you can use the Pay-By-Link service.
Operational Forms
UPE Pay-By-Link Pound Sterling
UPE PR 12774
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|
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If you are an Utmost PanEurope dac client and you pay regular premiums into your European Capital Account, European Pensions Account or European Savings Account inUS Dollar, regardless of your current payment method, you can use the Pay-By-Link service.
|
Europe Expat, United Kingdom (UK) |
English (EN) |
Non Product Specific |
FOS |
If you are an Utmost PanEurope dac client and you pay regular premiums into your European Capital Account, European Pensions Account or European Savings Account inUS Dollar, regardless of your current payment method, you can use the Pay-By-Link service.
Operational Forms
UPE Pay-By-Link US Dollar
UPE PR 12773
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|
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If you are an Utmost PanEurope dac client and you pay regular premiums into your European Capital Account, European Pensions Account or European Savings Account inEuro, regardless of your current payment method, you can use the Pay-By-Link service.
|
Europe Expat, United Kingdom (UK) |
English (EN) |
Non Product Specific |
FOS |
If you are an Utmost PanEurope dac client and you pay regular premiums into your European Capital Account, European Pensions Account or European Savings Account inEuro, regardless of your current payment method, you can use the Pay-By-Link service.
Operational Forms
UPE Pay-By-Link Euro
UPE PR 12772
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This form is intended for Utmost PanEurope dac customers (with a Scottish Mutual International or Phoenix Life branded policy) who wish to inform us of any changes to their personal details, such as name, specimen signature, address, email address or telephone number.
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English (EN) |
Non Product Specific |
FOS |
This form is intended for Utmost PanEurope dac customers (with a Scottish Mutual International or Phoenix Life branded policy) who wish to inform us of any changes to their personal details, such as name, specimen signature, address, email address or telephone number.
Operational Forms
Client Information and Change of Details Form
UPE PR 12745
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|
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Formulaire d’arbitrage – Portefeuille en gestion conseillée Advisory Portfolio Dealing Instruction Form
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France (FR) |
English (EN), French (FR) |
Private Wealth Portfolio (PWP) France |
|
Formulaire d’arbitrage – Portefeuille en gestion conseillée Advisory Portfolio Dealing Instruction Form
Operational Forms
Formulaire d’arbitrage – Portefeuille en gestion conseillée
UPE PR 12738
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This form is intended for most Utmost PanEurope dac customers who wish to inform us of any changes to their personal details, such as name, specimen signature, address, email address or telephone number.
|
Chile (CL), Finland (FI), France (FR), Italy (IT), Mexico (MX), Portugal (PT), Spain (ES), United Kingdom (UK) |
English (EN) |
Non Product Specific |
FOS |
This form is intended for most Utmost PanEurope dac customers who wish to inform us of any changes to their personal details, such as name, specimen signature, address, email address or telephone number.
Operational Forms
Client Information and Change of Details Form
UPE PR 12682
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PWP France – Nomination of Investment Adviser
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France (FR) |
English (EN) |
Private Wealth Portfolio (PWP) France |
FOS |
PWP France – Nomination of Investment Adviser
Operational Forms
PWP France – Nomination of Investment Adviser
UPE PR 12675
|
|
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Lomake lisämaksun tekemiseen Wealth Portfolio Finland vakuuutukseen.
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Finland (FI) |
English (EN), Finnish (FI) |
Wealth Portfolio Finland |
FOS |
Lomake lisämaksun tekemiseen Wealth Portfolio Finland vakuuutukseen.
Operational Forms
Wealth Portfolio Finland Lisäsijoituslomake
UPE PR 12659
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Lomake täyden valtakirjan varainhoitajan tai valtuutetun säilytyspankin nimittämiseen Wealth Portfolio Finland vakuutukseen.
|
Finland (FI) |
English (EN), Finnish (FI) |
Wealth Portfolio Finland |
|
Lomake täyden valtakirjan varainhoitajan tai valtuutetun säilytyspankin nimittämiseen Wealth Portfolio Finland vakuutukseen.
Operational Forms
Wealth Portfolio Finland Varainhoitajan tai valtuutetun säilytyspankin nimittäminen
UPE PR 12507
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Operational Forms PWP España Formulario de Notificación de Asignación de Póliza UPE PR 12483
|
Spain (ES) |
Spanish (ES) |
Private Wealth Portfolio - Spain |
|
Operational Forms
PWP España Formulario de Notificación de Asignación de Póliza
UPE PR 12483
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Ce formulaire est fourni strictement en qualité de projet pour examen par les conseillers juridiques du Souscripteur et devra etre adapté aux contextes et objectifs du Souscripteur qui sollicite une telle clause.
|
France (FR) |
French (FR) |
Private Wealth Portfolio (PWP) France |
FOS |
Ce formulaire est fourni strictement en qualité de projet pour examen par les conseillers juridiques du Souscripteur et devra etre adapté aux contextes et objectifs du Souscripteur qui sollicite une telle clause.
Operational Forms
Clause bénéficiaire démembrée avec quasi-usufruit
UPE PR 12463
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|
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Operational Forms PWP España Declaración del tomador del seguro – Intención de trasladarse a España UPE PR 12459
|
Spain (ES) |
Spanish (ES) |
Private Wealth Portfolio - Spain |
|
Operational Forms
PWP España Declaración del tomador del seguro – Intención de trasladarse a España
UPE PR 12459
|
|
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Ce formulaire doit être complété et signé par l’assuré et le gestionnaire de fonds discrétionnaire lorsqu’une prime additionnelle doit être versée par transfert de titres (prime en nature).
|
France (FR) |
French (FR) |
Private Wealth Portfolio (PWP) France |
FOS |
Ce formulaire doit être complété et signé par l’assuré et le gestionnaire de fonds discrétionnaire lorsqu’une prime additionnelle doit être versée par transfert de titres (prime en nature).
Operational Forms
Gestion discrétionnaire – Transfert de titres
UPE PR 12442
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Lomake vakuutusmaksukauden aikana pyydettävälle maksuvapaalle.
|
Finland (FI) |
English (EN), Finnish (FI) |
Future, Target |
|
Lomake vakuutusmaksukauden aikana pyydettävälle maksuvapaalle.
Operational Forms
Target ja Future Maksuvapaapyyntö
UPE PR 12434
|
|
|
Ce formulaire devra etre complété et signé par tous les Souscripteurs en cas de perte de la documentation contractuelle recue et demande de duplicata.
|
France (FR) |
French (FR) |
Private Wealth Portfolio (PWP) France |
FOS |
Ce formulaire devra etre complété et signé par tous les Souscripteurs en cas de perte de la documentation contractuelle recue et demande de duplicata.
Operational Forms
Déclaration de perte de la documentation contractuelle et demande de duplicata
UPE PR 12417
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|
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Ce formulaire est a completer et signer par le Souscripteur en cas de changement de nom ou sur demande de l’Assureur, ainsi que par l’exécuteur testamantaire.
|
France (FR) |
French (FR) |
Private Wealth Portfolio (PWP) France |
FOS |
Ce formulaire est a completer et signer par le Souscripteur en cas de changement de nom ou sur demande de l’Assureur, ainsi que par l’exécuteur testamantaire.
Operational Forms
Spécimen de signature
UPE PR 12416
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|
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Ce formulaire est a completer et signer par le Souscripteur pour demande de changement de clause bénéficiaire.
|
France (FR) |
French (FR) |
Private Wealth Portfolio (PWP) France |
FOS |
Ce formulaire est a completer et signer par le Souscripteur pour demande de changement de clause bénéficiaire.
Operational Forms
Demande de changement de clause bénéficiaire
UPE PR 12415
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|
|
Ce formulaite est a remplir et signer par le Souscripteur et le nouvel Intermédiaire en Assurance qu’il souhaite désigner pour son Contrat.
|
France (FR) |
French (FR) |
Private Wealth Portfolio (PWP) France |
FOS |
Ce formulaite est a remplir et signer par le Souscripteur et le nouvel Intermédiaire en Assurance qu’il souhaite désigner pour son Contrat.
Operational Forms
Désignation d’un ‘Intermédiaire en Assurance
UPE PR 12413
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|
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Il vous a été demandé de remplir ce formulaire afin que la compagnie concernée puisse déclarer correctement votre contrat dans le cadre des accords d’échange d’informations fiscales, y compris FATCA et CRS. Ce formulaire doit être complété par:• Le titulaire de la police (parfois appelé titulaire du régime ou titulaire du compte)• Les personnes autorisées à signer au nom de l’Assuré, par exemple leur mandataire ou leur adjoint désigné par le tribunal, lorsque nous détenons les documents appropriés qui peuvent justifier l’intervention d’une personne autorisée.
|
France (FR) |
French (FR) |
Non Product Specific |
FOS |
Il vous a été demandé de remplir ce formulaire afin que la compagnie concernée puisse déclarer correctement votre contrat dans le cadre des accords d’échange d’informations fiscales, y compris FATCA et CRS. Ce formulaire doit être complété par:• Le titulaire de la police (parfois appelé titulaire du régime ou titulaire du compte)• Les personnes autorisées à signer au nom de l’Assuré, par exemple leur mandataire ou leur adjoint désigné par le tribunal, lorsque nous détenons les documents appropriés qui peuvent justifier l’intervention d’une personne autorisée.
Operational Forms
Déclaration Fiscale et Auto-certification pour les Investisseurs Individuels
UPE PR 00232
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|
|
Document permettant d’identifier toute personne associée au contrat qui pourrait être considérée comme une personne politiquement exposée (PPE).
|
France (FR) |
French (FR) |
Private Wealth Portfolio (PWP) France |
FOS |
Document permettant d’identifier toute personne associée au contrat qui pourrait être considérée comme une personne politiquement exposée (PPE).
Operational Forms
Personne Politiquement Exposée
UPE PR 00230
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|
|
Attestation D’Existence
|
France (FR) |
French (FR) |
Private Wealth Portfolio (PWP) France |
FOS |
Attestation D’Existence
Operational Forms
Attestation D’Existence – PWP France
UPE PR 00229
|
|
|
Ce formulaire est a completer et signer par le Souscripteur en cas de changement de nom et/ou d’adresse postale.
|
France (FR) |
French (FR) |
Private Wealth Portfolio (PWP) France |
FOS |
Ce formulaire est a completer et signer par le Souscripteur en cas de changement de nom et/ou d’adresse postale.
Operational Forms
Formulaire de changement de nom et/ou d’adresse
UPE PR 00227
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|
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This form can be used to nominate a Discretionary Fund Manager, Platform or Custodian to assist you with your Apex France policy
|
France (FR) |
English (EN) |
Apex (France) |
FOS |
This form can be used to nominate a Discretionary Fund Manager, Platform or Custodian to assist you with your Apex France policy
Operational Forms
Apex France Nomination of Discretionary Fund Manager, Platform or Custodian
UPE PR 00204
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|
|
Please use this application form to add additional single premium to Apex France.
|
France (FR) |
English (EN) |
Apex (France) |
FOS |
Please use this application form to add additional single premium to Apex France.
Operational Forms
Apex France Guide for Additional Single Premium
UPE PR 00163
|
|
|
Ce formulaire permet au souscripteur de nommer ou changer un conseiller en investissement et/ou un dépositiaire pour son contrat d’assurance-vie.
|
France (FR) |
French (FR) |
Private Wealth Portfolio (PWP) France |
FOS |
Ce formulaire permet au souscripteur de nommer ou changer un conseiller en investissement et/ou un dépositiaire pour son contrat d’assurance-vie.
Operational Forms
DÉSIGNATION D’UN CONSEILLER EN INVESTISSEMENT ET D’UN DÉPOSITAIRE
UPE PR 00159
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|
|
This form can be used to request an overdraft clearance for your Apex France Dealing Account.
|
France (FR) |
English (EN) |
Apex (France) |
FOS |
This form can be used to request an overdraft clearance for your Apex France Dealing Account.
Operational Forms
Apex France – Dealing account overdraft clearance instruction form
UPE PR 00141
|
|
|
This form should be used to buy and/or sell External Assets linked to your Policy. It cannot be used to buy or sell assets held by a Discretionary Fund Manager or those held on a Platform.
|
France (FR) |
English (EN) |
Apex (France) |
FOS |
This form should be used to buy and/or sell External Assets linked to your Policy. It cannot be used to buy or sell assets held by a Discretionary Fund Manager or those held on a Platform.
Operational Forms
Apex France – Dealing instruction
UPE PR 00130
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|
|
This guide has been designed to assist you with completing the additional single premium application form.
|
United Kingdom (UK) |
English (EN) |
Delegation |
FOS |
This guide has been designed to assist you with completing the additional single premium application form.
Operational Forms
Guide to Completing the Delegation Additional Single Premium Application for Trustee and Corporate Trustees
UPE PR 00129
|
|
|
This Trust Deed is to be used to convert an existing Delegation bond into a Discounted Gift Trust.
|
United Kingdom (UK) |
English (EN) |
Delegation |
FOS |
This Trust Deed is to be used to convert an existing Delegation bond into a Discounted Gift Trust.
Operational Forms
Delegation DGT Discretionary Trust Deed
UPE PR 00092
|
|
|
This Trust Deed is to be used to convert an existing Delegation bond into a Discounted Gift Trust.
|
United Kingdom (UK) |
English (EN) |
Delegation |
FOS |
This Trust Deed is to be used to convert an existing Delegation bond into a Discounted Gift Trust.
Operational Forms
Delegation DGT Absolute Trust Deed
UPE PR 00091
|
|
|
This Switch Instruction Form outlines the bond switch details along with the bond owners, both personal and corporate investors.For products formerly Scottish Mutual International.
|
|
English (EN) |
Non Product Specific |
|
This Switch Instruction Form outlines the bond switch details along with the bond owners, both personal and corporate investors.For products formerly Scottish Mutual International.
Operational Forms
Switch Instruction form
UIC PR 00189
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|
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This retirement request form includes a list of options available on retirement and discharge for non-pension payments.This form is used with a small number of older products.
|
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English (EN) |
Non Product Specific |
|
This retirement request form includes a list of options available on retirement and discharge for non-pension payments.This form is used with a small number of older products.
Operational Forms
Retirement Request Form – Personal Pension Plans
UIC PR 00188
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|
|
Request to transfer the fund or part of the fund accrued under the scheme or scheme(s) in respect of the Member’s retirement benefits to an approved retirement fund.
|
Europe Expat, United Kingdom (UK) |
English (EN) |
Non Product Specific |
FOS |
Request to transfer the fund or part of the fund accrued under the scheme or scheme(s) in respect of the Member’s retirement benefits to an approved retirement fund.
Operational Forms
Executive Pension Request to Transfer to an Approved Retirement Fund
UIC PR 00185
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|
|
Declaration form to confirm that the transfer request conforms to the requirements of the Occupational Pension Schemes and Personal Retirement Savings Accounts and is for bona fide purpose.
|
Europe Expat, United Kingdom (UK) |
English (EN) |
Non Product Specific |
FOS |
Declaration form to confirm that the transfer request conforms to the requirements of the Occupational Pension Schemes and Personal Retirement Savings Accounts and is for bona fide purpose.
Operational Forms
Overseas Transfer Declaration
UIC PR 00183
|
|
|
This Switch Instruction Form can be used to capture the bond switch details along with the bond owners for both personal and corporate investors.
|
Europe Expat, United Kingdom (UK) |
English (EN) |
Non Product Specific |
FOS |
This Switch Instruction Form can be used to capture the bond switch details along with the bond owners for both personal and corporate investors.
Operational Forms
Switch Instruction Form
UIC PR 00170
|
|
|
This declaration must be signed by policyholders who are neither resident nor ordinarily resident in Ireland or by personal representatives signing on behalf of deceased persons.
|
Germany (DE) |
German (DE) |
Non Product Specific |
FOS |
This declaration must be signed by policyholders who are neither resident nor ordinarily resident in Ireland or by personal representatives signing on behalf of deceased persons.
Operational Forms
Erklärung Wohnsitzdefinition
UIC PR 00163
|
|
|
For Products formerly Scottish Mutual International this form is used to declare the loss of Plan Schedule and any owners of the bond, both personal and corporate investors.
|
Germany (DE) |
English (EN) |
Non Product Specific |
FOS |
For Products formerly Scottish Mutual International this form is used to declare the loss of Plan Schedule and any owners of the bond, both personal and corporate investors.
Operational Forms
Declaration of Loss of Plan Schedule
UIC PR 00158
|
|
|
This form is used to declare the loss of Plan Schedule and any owners of the bond, both personal and corporate investors.
|
Germany (DE) |
German (DE) |
Non Product Specific |
FOS |
This form is used to declare the loss of Plan Schedule and any owners of the bond, both personal and corporate investors.
Operational Forms
Meldung Über den Verlust der Versicherungsurkunde
UIC PR 00157
|
|
|
This form is used for dealing instructions carried out wherever possible, at the next available price immediately following receipt by Utmost PanEurope dac of these duly completed instructions.
|
|
English (EN) |
Non Product Specific |
|
This form is used for dealing instructions carried out wherever possible, at the next available price immediately following receipt by Utmost PanEurope dac of these duly completed instructions.
Operational Forms
Dealing Instructions Form
UIC PR 00156
|
|
|
This trust deed is designed to be used only with pre-existing Selection bonds (written on a capital redemption basis and issued at least 12 months ago) now being converted to a discounted gift trust arrangement.
|
United Kingdom (UK) |
English (EN) |
Selection |
FOS |
This trust deed is designed to be used only with pre-existing Selection bonds (written on a capital redemption basis and issued at least 12 months ago) now being converted to a discounted gift trust arrangement.
Operational Forms
Discounted Gift Trust for Conversion of an Existing Selection Bond – Absolute Trust
UI PR 00117
|
|
|
These Terms of Business regulate the relationship between Utmost PanEurope dac and the intermediary whose details are set out on the signatory page of these Terms of Business which are for the UK market.
|
United Kingdom (UK) |
English (EN) |
Delegation, Generation Planning Bond, Private Wealth Portfolio - UK, Selection |
FOS |
These Terms of Business regulate the relationship between Utmost PanEurope dac and the intermediary whose details are set out on the signatory page of these Terms of Business which are for the UK market.
Operational Forms
Utmost PanEurope Terms of Business Statement and Application Form for Intermediaries
ALE PR 0026
|
|
|
Switch of investment objective and/or risk profile form for Utmost PanEurope dac’s Delegation product only.
|
United Kingdom (UK) |
English (EN) |
Delegation |
FOS |
Switch of investment objective and/or risk profile form for Utmost PanEurope dac’s Delegation product only.
Operational Forms
Switch of Investment Objective and/or Risk Profile Form for Delegation only
ALE PR 0022
|
|
|
Nomination of external manager and or custodian form for Utmost PanEurope dac’s Delegation product.
|
United Kingdom (UK) |
English (EN) |
Delegation |
FOS |
Nomination of external manager and or custodian form for Utmost PanEurope dac’s Delegation product.
Operational Forms
Nomination of External Manager and or Custodian Form for Delegation
ALE PR 0021
|
|
|
Please use this for to appoint a financial adviser for Utmost PanEurope dac’s Selection product.
|
United Kingdom (UK) |
English (EN) |
Selection |
FOS |
Please use this for to appoint a financial adviser for Utmost PanEurope dac’s Selection product.
Operational Forms
Appointment of Financial Adviser Form
ALE PR 0019
|
|
|
Selection nomination of external manager and/or custodian form for use with Utmost PanEurope dac’s Selection bonds only.
|
United Kingdom (UK) |
English (EN) |
Generation Planning Bond, Selection |
FOS |
Selection nomination of external manager and/or custodian form for use with Utmost PanEurope dac’s Selection bonds only.
Operational Forms
Nomination of Investment Adviser Form for Generation Planning Bond and Selection
ALE PR 0016
|
|
|
Selection nomination of external manager and/or custodian form for use with Utmost PanEurope dac’s Selection bonds only.
|
United Kingdom (UK) |
English (EN) |
Selection |
FOS |
Selection nomination of external manager and/or custodian form for use with Utmost PanEurope dac’s Selection bonds only.
Operational Forms
Nomination of External Manager and/or Custodian Form for Selection
ALE PR 0015
|