Request for Change of Servicing Representative DCC369 Request for Change of Servicing Representative 2025

Get Form
Request for Change of Servicing Representative DCC369 Request for Change of Servicing Representative Preview on Page 1

Here's how it works

01. Edit your form online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out Request for Change of Servicing Representative DCC369 Request for Change of Servicing Representative with our platform

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2
  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling in your name as the Policyholder/Owner at the top of the form. This identifies you as the individual requesting the change.
  3. In the 'New Representative' section, enter the name of your new servicing representative who will replace your current one.
  4. List all relevant policy numbers under 'Policies'. If you do not know a policy number, provide the Policy Owner’s date of birth and optionally their Social Insurance Number (SIN).
  5. Sign and date the form in the designated areas to authorize ivari to process this request.
  6. The New Representative must complete their section, including their name, advisor code, signature, and distributor office code before submission.

Start using our platform today to streamline your document editing and submission process for free!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
How to break up with your broker. Breaking up is straightforward, and the successor broker does much of the work. Clients initiate the process through a form letter known as a broker of record (BOR) letter. The industry recognizes this as the vehicle for changing brokers.
Just contact the manager of your agent directly or just ask your agent to speak with their manager. You dont need to tell them why and tell them youd like a new agent. Either that or drop your policy and go to another company.
Anyone is entitled to change their life insurance provider at any time, though of course there is no guarantee that your new application would be accepted by a new provider.
Payment options Pre-Authorized Debit (PAD) Never worry about missing a payment with a PAD! Online banking. You can pay your premium any time through most banks and financial institutions just like you pay other bills online. Mailing. You can also make your payments by cheque, through regular mail.
You can change the agent of record on a policy using several formats and send it electronically, by fax or by mail. All agent change requests require a policy holder signature unless an agency or principal is transferring the agent of record within their organization.

People also ask

If you are staying with the same carrier, you can switch agents at any time and transfer your policy to the new agent. If youre switching companies, you can usually cancel your policy at any time. However, some types of insurance policies can have cancellation fees which may include prorated charges.
A withdrawal can be requested by completing sections 1 , 5(a) 7 of the Policy Service form and signing on page 4. Please be advised that a withdrawal against your universal life policy may cause the policy to lapse if it is not adequately funded. As well, this transaction may cause a taxable consequence.
If you need any help or, require additional information, please contact your advisor or ivari Customer Service at 1-800-846-5970.

Related links