Forms - Heng An Standard Life

For principal forms (except [C1]), you may refer to:

  • the below policy services forms download section (Heng An Standard Life website without user ID and password) 

Link: https://www.hengansl.com.hk/en/help-and-support/download-hub#tab-advisor-zone

Form can be downloaded from "Download hub"

SAMPLE FOR REFERENCE ONLY!​​​​​​​

New Business Forms

Form [A2] Addendum / Supplement to Application Form - [Sample]

Form [A5] Application Form -  CareMore - Refundable Critical Illness Insurance Plan (Updated: 30 Sep 2020)

Form [A6] Application Form – OneFuture (Updated: 23 Aug 2023)

Form [B1] Bank Instruction Letter - [Sample]

Form [F1] Financial Needs Analysis ("FNA") Form

Form [I12] Important Facts Statement - Policy Replacement (Updated: 19 Apr 2022)

Important Facts Statement and Applicant's Declarations (New Application)​​​​​​​

Form [I13] OneFuture (Updated: 10 Oct 2024)

(For PRC businessImportant Facts Statement and Applicant's Declarations (New Application)

Form [I7] Important Fact Statement – Mainland People

Form [I8] Important Fact Statement – Mainland People – Aspiration

Form [I9] Important Fact Statement – Mainland People – Fortuity

Form [I10] Important Fact Statement – Mainland People – Harvest 101

Form [R1] Risk Profile Questionnaire 

Form [S3] Supplementary Application Form (New Application)

Form [S4] Supplement to Financial Needs Analysis / Risk Profile Questionnaire (For New Business / Top Up only) -  [Sample]

Form [S5] Self-Certification Form – Individual -  [Sample] (Sample Updated: 27 Jul 2017)

Form [S6] Self-Certification Form – Entity

Form [S7] Self-Certification Form –Controlling Person

POS Forms

Form [A1] Absolute Assignments Form (For Policy Assignment)  -  [Sample]

Form [C1] Cancellation Letter (For Cancellation)

Form [C2] Change of Personal Information / Beneficiary Designation Form (For Beneficiary; Update Personal Details )

Form [C3] Change in Contribution Form (For Top Up & Decrease Premium)  -  [RD-Sample] [TU-Sample](Sample updated: 14 Aug 2014)

Form [C6] Credit Card Payment Instruction Form (For Change of Payment Method)  -  [Sample] (Sample Updated: 14 Aug 2014)

Form [D1] Direct Debit Authorisation (For Change of Payment Method)  - [Sample] (Sample Updated: 14 Aug 2014)

Form [D2] Death Claim Form  - [Sample]

Form [D3] Death Claims-Authorisation  - [Sample] (Sample Updated: 27 Jul 2017)

Form [H1] Health Statement Declaration Form 

Form [I1] Investment Choice Change Form (For Fund Switching / Redirection) (Updated: 18 Sep 2020)  -  [Sample]

Important Facts Statement and Applicant's Declarations [Top Up]

Form [I2] [Harvest 101]

Form [I3] [For Harvest Wealth]

Form [I5] [For Wealth Amplifier]

Form [I6] [For Harvest Elite]

Important Fact Statement for Mainland Policyholders (Please refer to [I7])

Form [P1] Policy Alteration Form - Form A (For Partial Surrender; Surrender; Reinstatement)  - [Sample] (For Partial Withdrawal/Surrender) [Sample] (For Reinstatement)

Form [P2] Policy Alteration Form - Form B (For Contribution Holiday, Resume Paying Contribution)  - [Sample (Sample updated: 17 May 2016)

Form [S1] Source of Fund form (For Assignment; New Application )  - [Sample] (Sample Updated: 14 Aug 2014)

Form [S2] Standing Instruction Form  (For Change of Payment Method)  - [Sample] (Sample Updated: 14 Aug 2014)

Form [T1] Third Party Payment Declaration Form (For Third party Payment) - [Sample] (Sample Updated: 14 Aug 2014)

Heng An Standard Life Customer Hotline: 21690300

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