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Please complete, print and sign the Change of Name C-0075 form and email it to us at insurance@empire.ca or investment@empire.ca or you can mail it to:

Empire Life, 259 King St East

Kingston ON K7L 3A8

If you have a life insurance or investment policy and are looking to update your primary address or phone number, register for or log in to MyEmpire

For Insurance policies:  

Please complete, print and sign the PAD Authorization Pre Authorized Debit C-0170 form and include either a void cheque or a Direct Deposit Form provided by your financial institution and email all documents to us at insurance@empire.ca or you can mail it to:

Empire Life, 259 King St East

Kingston ON K7L 3A8

For Investment policies:  

Please download the Investment Change INP-125 form and complete the appropriate sections as indicated below:

Note:  If bank account information is being replaced, and an account is no longer being used, please indicate on the request "do not use" for the previous account.

For scheduled PAC (recurring deposits from your bank account to your investment policy), complete sections 1, 3, 4 and 11. You may add additional information into section 10 (Special Instructions) if further information needs to be clarified.

For scheduled withdrawals (recurring withdrawals from your investment policy to your bank account). complete sections 1, 3, 5.1 and 11. For non-registered investments, sections 6 and 7 may also need to be completed if for withdrawals over $10,000 (section 6), or $100,000 (section 7). If the total yearly withdrawal exceeds your policy's Lifetime Withdrawal Amount (LWA), then section 8.0 must be completed as well. You may add additional information into section 10 (Special Instructions) if further information needs to be clarified.

Send the completed form and include a void cheque or a Direct Deposit Form provided by your financial institution and email all documents to us at investment@empire.ca or you can mail it to:

 

Empire Life, 259 King St East

Kingston ON K7L 3A8

 

For assistance completing either of these forms please contact your Advisor, or speak with our Customer Service team by calling 1-800-561-1268 between 8am-8pm (5pm for french) E.S.T., Monday - Friday.

Please complete, print and sign the Beneficiary Designation D-0017 form and email it to us at insurance@empire.ca or investment@empire.ca or you can mail it to:

Empire Life, 259 King St East

Kingston ON K7L 3A8

 

Please note on p1 of the form that if you have already designated a primary beneficiary as irrevocable you cannot change this without the beneficiary’s written consent, or in the case of a minor, a court order must be obtained.