Forms - HSBC Life

New Business Forms

Form [C1] Customer Source of Wealth Form – Personal Customer (Updated: 30 Jun 2023)

Form [H1] Wealth Select Protection Linked Plan Application-Simplified underwriting (Updated: 9 Dec 2024)[Sample] (Updated: 13 Jul 2023)

Form [H2] Wealth Select Protection Linked Plan Application-Full Underwriting  (Updated: 9 Dec 2024) [Sample] (Updated: 13 Jul 2023)

Form [H3] Supplementary Declaration & Application (Updated: 12 Jul 2023)

Form [I1] Important Facts Statement – Policy Replacement (Updated: 30 Jun 2023)

Form [I2] Important Facts Statement for Mainland Policyholder (Updated: 30 Jun 2023)

Form [L1] Life Insurance Supplementary Applicaiton Form - Full underwriting (Updated: 07 Aug 2023)

Form [S1] Suitability Assessment Form (Updated: 30 Jun 2023) [Sample] (Updated: 05 Jul 2023)

Form [N1] Nominating Married Partner as Life Insured (Updated: 28 May 2024)

Form [N2] Nominating Child (18 years old or above) as Life Insured (Updated: 28 May 2024)

POS Forms:

Form [A1] Application Investment Choice Arrangement Form (incl. change of allocation and fund switching) (Updated: 15 May 2025)

Form [C2] Change of Premium Instruction (Updated: 27 Feb 2024)

Form [D1] Declaration for Nominating Beneficiary (Updated: 24 Mar 2025)

Form [P1] Policy Change Request (Financial) (Updated: 7 Jan 2025)

Form [P2]  Policy Details Change Request (Non-Financial) (Updated: 7 Jan 2025)

  • For change of dividend payment method, please complete this section:

Form [R1] Request for Policy Reinstatement (Updated: 03 Jul 2023)

Form [R2] Request for Policy Surrender/Partial Surrender (Updated: 03 Dec 2025)

Form [R3] Request for Transfer of Ownership (Updated: 03 Jul 2023)

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