Forms

Express Insurance Service Options

Fast track your insurance service requests through these convenient options.

Learn more

Please download, print and complete the applicable form for submission to the SJLIC Insurance representative at your nearest Scotiabank branch. For further information, please call 888-GO-SJLIC (467-5542).

Address Change [PDF: 589 KB]
Application for Surrender and Discharge of Policy [PDF: 413 KB]
Appointment or Change of Beneficiary Form [PDF: 285 KB]
Appointment or Change of Trustee Form [PDF: 423 KB]
Cash Disbursement Form [PDF: 320 KB]
Client Information Form [PDF: 379 KB]

Electronic Communication Agreement Form [PDF: 152.5 KB]
Lost Policy Declaration Form (Request for duplicate policy) [PDF: 356 KB]
Name & Date of Birth Change Form [PDF: 198 KB]
Pre-Authorized Payments Form [PDF:239.3]
Policy Ownership Change Form [PDF: 315 KB]

ScotiaBRIDGE Forms

Salary Deduction Authorization [PDF: 312 KB]

Transfer Authorization [PDF: 285 KB]

Application for Termination [PDF: 217 KB]

Employee/Employer Contribution Authorization [PDF: 279 KB]

Claims Forms

Scotia Jamaica Life Insurance Company (SJLIC) administers both Death Benefit and Living Benefit claims. We are committed to approving claims within 3-5 working days, upon receipt of ALL required documents. In the event of an unavoidable delay, we will provide the necessary updates.

Death Benefit Claims [PDF: 278 KB]
Living Benefit Claims [PDF: 458 KB]

The following forms can be submitted via electronic means through our sjlic.service@scotiabank.com or through fax at 876-922-8675. (Please note that a previously signed Electronic Communication Agreement Form is required). They can also be printed and submitted to the SJLIC Insurance representative at your nearest Scotiabank branch.

Address Change [PDF: 315 KB]

Premium/Contribution/Bank Account Change Form [PDF: 245 KB]

Requests for an electronic duplicate statement and a policy status letter can also be sent to sjlic.service@scotiabank.com.

Do you have a complaint? Please email sjlic.service@scotiabank.com.