Pre-Authorized Debit for insurance products

Online change form

Pre-authorized Debit (PAD) for Insurance Products

Please complete the following information so we can retrieve your policy and make the changes you are requesting.

For Investment accounts, please download the Pre-Authorized Debit (PAD) for Insurance Products (ivari.ca), sign, and submit to us using our secure online Send Documents tool.

Is the policy individual or corporate owned: *
Individual Corporation

Selection is required.

Owner first name: *

First name is required.

Owner last name: *

Last name is required.

Corporation name: *

Corporation name is required.

Policy number: *

Policy number is required.

Email address: *

Email is required. Invalid email address.

Cell phone number: *

Cell phone number is required. Invalid phone number.

A passcode will be sent to your cell phone after your successful submission. Please enter the code on the next page.

Please check box and click submit below:
Important! You will need to attach a copy of either a void cheque, direct deposit form or bank letter on the next page.

Note: You can use 1 form for multiple policies. Use the 'Policy number' field on the next page to add additional policy numbers.

ivari
P.O. Box 4241, Station A
Toronto ON M5W 5R3

Questions: Call us at 1-800-846-5970 Monday - Friday 8:00 a.m. - 7:00 p.m. ET