Pacific Life & Annuity (NY-Life Insurance) Online Forms Library

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Pacific Life & Annuity (NY-Life Insurance)
Monthly Deduction Allocation Request - VUL
Used in NY.
Lit No: 85-21839-47
Revised: 08/30/2018
Form ID: 7577
Publish: 08/31/2018
Details
Pacific Life & Annuity (NY-Life Insurance)
Withdrawal Request
For Compliant Withdrawals from Guaranteed Minimum Withdrawal Benefit Riders
Lit No: W13031-10B1
Revised: 07/01/2010
Form ID: 24998
Publish: 10/20/2010
Details
Pacific Life & Annuity (NY-Life Insurance)
Life Insurance Buyer's Guide - NY
Lit No: 85-22122-01
Revised: 05/11/2011
Form ID: 52106
Publish: 12/02/2016
Details
Pacific Life & Annuity (NY-Life Insurance)
Jnt Unequal/Split Owner Designation Authorization
Lit No: 85-30776-01
Revised: 12/05/2014
Form ID: 52107
Publish: 12/02/2016
Details
Pacific Life & Annuity (NY-Life Insurance)
Internal Replacement Request
Lit No: 85-21830-08
Revised: 02/13/2015
Form ID: 52108
Publish: 12/06/2016
Details
Pacific Life & Annuity (NY-Life Insurance)
Impt Notice for Active Duty Mbrs-US Armed Forces
Lit No: 85-29206-01
Revised: 05/01/2014
Form ID: 52110
Publish: 12/06/2016
Details
Pacific Life & Annuity (NY-Life Insurance)
HIV Consent - NY
Lit No: 85-21777-04
Revised: 02/06/2012
Form ID: 52111
Publish: 12/06/2016
Details
Pacific Life & Annuity (NY-Life Insurance)
Foreign Res & Travel Qstnre-Future, A11TFU-NY
Lit No: 85-30285-02
Revised: 08/11/2014
Form ID: 52114
Publish: 12/06/2016
Details
Pacific Life & Annuity (NY-Life Insurance)
Financial Questionnaire
Lit No: 85-21790-04
Revised: 06/02/2014
Form ID: 52115
Publish: 12/12/2016
Details
Pacific Life & Annuity (NY-Life Insurance)
Employer-Owned Life Insurance Employee Status
Lit No: 85-25692-03
Revised: 12/05/2014
Form ID: 52116
Publish: 12/12/2016
Details
Pacific Life & Annuity (NY-Life Insurance)
Disclosure Notice - How We Use Your Information
Lit No: 85-30802-01
Revised: 05/01/2014
Form ID: 52117
Publish: 12/12/2016
Details
Pacific Life & Annuity (NY-Life Insurance)
Dependent Insured Questionnaire
Lit No: 85-43534-00
Revised: 02/13/2015
Form ID: 52118
Publish: 12/12/2016
Details
Pacific Life & Annuity (NY-Life Insurance)
Collateral Assignment
Lit No: 85-44693-02
Revised: 03/29/2018
Form ID: 52119
Publish: 04/13/2018
Details
Pacific Life & Annuity (NY-Life Insurance)
Collat Assig-Split Dollar Majority Shareholder
Lit No: 85-44692-01
Revised: 02/17/2017
Form ID: 52120
Publish: 03/10/2017
Details
Pacific Life & Annuity (NY-Life Insurance)
Business Insurance Questionnaire-NY
Lit No: 85-43609-00
Revised: 02/13/2015
Form ID: 52122
Publish: 12/06/2016
Details
Pacific Life & Annuity (NY-Life Insurance)
Avocation Questionnaire, AZ2AVO-NY
Lit No: 85-24353-02
Revised: 04/04/2014
Form ID: 52123
Publish: 12/06/2016
Details
Pacific Life & Annuity (NY-Life Insurance)
Aviation Questionnaire, AZ2AVI-NY
Lit No: 85-24354-03
Revised: 08/11/2014
Form ID: 52124
Publish: 12/12/2016
Details
Pacific Life & Annuity (NY-Life Insurance)
Authorization for Electronic Funds Transfer (EFT)
Lit No: 85-44697-02
Revised: 09/12/2016
Form ID: 52125
Publish: 12/12/2016
Details
Pacific Life & Annuity (NY-Life Insurance)
Application, Part II, Non-Medical, AP9500-P2-NY
Lit No: 85-21246-06
Revised: 04/04/2014
Form ID: 52126
Publish: 12/16/2016
Details
Pacific Life & Annuity (NY-Life Insurance)
Application Part II, Juvenile Medical, AP7502-NY
Lit No: 85-21363-04
Revised: 06/02/2014
Form ID: 52127
Publish: 12/06/2016
Details
Pacific Life & Annuity (NY-Life Insurance)
Application for Life Insurance, A10IUW-NY
Lit No: 85-29744-21
Revised: 02/16/2018
Form ID: 52128
Publish: 02/14/2018
Details
Pacific Life & Annuity (NY-Life Insurance)
1035 Exchange Absolute Assignment-NY
Lit No: 85-28980-02
Revised: 08/26/2016
Form ID: 52129
Publish: 12/06/2016
Details
Pacific Life & Annuity (NY-Life Insurance)
Reg. 60 - NY Regulation 60 Replacement Procedures
Lit No: 85-21956-08
Revised: 02/13/2015
Form ID: 52133
Publish: 12/15/2016
Details
Pacific Life & Annuity (NY-Life Insurance)
Reg. 60 - Important Notice Regarding Replacements
Lit No: 85-21775-08
Revised: 07/15/2015
Form ID: 52134
Publish: 12/15/2016
Details
Pacific Life & Annuity (NY-Life Insurance)
Reg. 60 - Auth to Release Info for Discl Statement
Lit No: 85-21957-05
Revised: 05/01/2014
Form ID: 52136
Publish: 12/16/2016
Details
Pacific Life & Annuity (NY-Life Insurance)
Qualified Plan Disclosure Form
Lit No: 85-24492-07
Revised: 04/04/2014
Form ID: 52137
Publish: 12/15/2016
Details
Pacific Life & Annuity (NY-Life Insurance)
Premium Financing Submission Request
Lit No: 85-46130-00
Revised: 10/28/2016
Form ID: 52138
Publish: 12/14/2016
Details
Pacific Life & Annuity (NY-Life Insurance)
Premium Financing Disclosure and Acknowledgment
Lit No: 85-25303-06
Revised: 07/01/2017
Form ID: 52139
Publish: 07/28/2017
Details
Pacific Life & Annuity (NY-Life Insurance)
Premium Deposit Fund Request
Lit No: 85-23448-07
Revised: 06/16/2017
Form ID: 52140
Publish: 06/15/2017
Details
Pacific Life & Annuity (NY-Life Insurance)
Policy Notification Request
Lit No: 85-29749-01
Revised: 07/07/2014
Form ID: 52141
Publish: 12/14/2016
Details
Pacific Life & Annuity (NY-Life Insurance)
Non-Plan Specific Disclosure and Acknowledgment
Lit No: 85-27752-04
Revised: 08/01/2017
Form ID: 52142
Publish: 07/28/2017
Details
Pacific Life & Annuity (NY-Life Insurance)
New York Solicitation Verification
Lit No: 85-22387-03
Revised: 07/07/2014
Form ID: 52143
Publish: 12/14/2016
Details
Pacific Life & Annuity (NY-Life Insurance)
New Jersey Verification
Lit No: 85-24218-04
Revised: 05/01/2014
Form ID: 52144
Publish: 12/14/2016
Details
Pacific Life & Annuity (NY-Life Insurance)
Multilife TIA-Simplified Issue, P07MTS - NY
Lit No: 85-27831-01
Revised: 11/03/2014
Form ID: 52147
Publish: 12/15/2016
Details
Pacific Life & Annuity (NY-Life Insurance)
Multilife TIA-Guaranteed Issue, P07MTG-NY
Lit No: 85-27833-01
Revised: 11/03/2014
Form ID: 52148
Publish: 12/15/2016
Details
Pacific Life & Annuity (NY-Life Insurance)
Modified Endowment Contract (MEC) Acceptance
Lit No: 85-24916-04
Revised: 08/11/2014
Form ID: 52149
Publish: 12/14/2016
Details
Pacific Life & Annuity (NY-Life Insurance)
List Billing Plan Agreement
Lit No: 85-25229-02
Revised: 04/04/2014
Form ID: 52150
Publish: 12/14/2016
Details
Pacific Life & Annuity (NY-Life Insurance)
Transfer of Qualified Plan Assests
Lit No: 85-21853-04
Revised: 02/27/2017
Form ID: 52151
Publish: 03/10/2017
Details
Pacific Life & Annuity (NY-Life Insurance)
W-8 BEN-E Form
Lit No: 85-43611-01
Revised: 10/06/2017
Form ID: 52153
Publish: 10/02/2017
Details
Pacific Life & Annuity (NY-Life Insurance)
W-8 BEN Form
Lit No: 85-22962-05
Revised: 10/06/2017
Form ID: 52154
Publish: 10/02/2017
Details
Pacific Life & Annuity (NY-Life Insurance)
Unisex Acceptance Waiver
Lit No: 85-21867-03
Revised: 04/04/2014
Form ID: 52155
Publish: 12/06/2016
Details
Pacific Life & Annuity (NY-Life Insurance)
Trust Information
Lit No: 85-30427-03
Revised: 03/10/2014
Form ID: 52156
Publish: 01/26/2018
Details
Pacific Life & Annuity (NY-Life Insurance)
Transaction Auth For Telephone/Electronic Requests
Lit No: 85-40750-04
Revised: 03/29/2018
Form ID: 52157
Publish: 04/13/2018
Details
Pacific Life & Annuity (NY-Life Insurance)
Temporary Insurance Agreement (TIA), A10TIA-NY
Lit No: 85-30421-03
Revised: 03/24/2015
Form ID: 52158
Publish: 12/15/2016
Details
Pacific Life & Annuity (NY-Life Insurance)
Split Dollar Endorsement
Lit No: 85-44690-01
Revised: 02/27/2017
Form ID: 52160
Publish: 03/10/2017
Details
Pacific Life & Annuity (NY-Life Insurance)
Split Dollar Collateral Assignment
Lit No: 85-44691-02
Revised: 03/29/2018
Form ID: 52161
Publish: 04/13/2018
Details
Pacific Life & Annuity (NY-Life Insurance)
Reverse Split Dollar Endorsement
Lit No: 85-44689-01
Revised: 02/27/2017
Form ID: 52163
Publish: 03/10/2017
Details
Pacific Life & Annuity (NY-Life Insurance)
Restricted Executive Bonus
Lit No: 85-21824-04
Revised: 04/04/2014
Form ID: 52164
Publish: 12/12/2016
Details
Pacific Life & Annuity (NY-Life Insurance)
Reg. 60 - Sales Material Checklist
Lit No: 85-21958-07
Revised: 03/18/2016
Form ID: 52165
Publish: 12/12/2016
Details
Pacific Life & Annuity (NY-Life Insurance)
Reg. 60 - Replacement Disclosure Statement
Lit No: 85-21776-09
Revised: 07/15/2015
Form ID: 52166
Publish: 12/19/2016
Details
Pacific Life & Annuity (NY-Life Insurance)
Ind Simplified Issue App, A13ISI NVUL – NY
Lit No: BK-10274-03
Revised: 05/30/2017
Form ID: 52282
Publish: 05/25/2017
Details
Pacific Life & Annuity (NY-Life Insurance)
Ind Guaranteed Issue App, A13IGI NVUL - NY
Lit No: BK-10249-03
Revised: 05/30/2017
Form ID: 52284
Publish: 05/25/2017
Details
Pacific Life & Annuity (NY-Life Insurance)
Producer Report - Multilife Applications
Lit No: 85-42461-00
Revised: 07/07/2014
Form ID: 52422
Publish: 12/16/2016
Details
Pacific Life & Annuity (NY-Life Insurance)
Reg. 60 - Definition of Replacement
Lit No: 85-21774-06
Revised: 02/13/2015
Form ID: 52423
Publish: 12/16/2016
Details
Pacific Life & Annuity (NY-Life Insurance)
In Force Variable Life Investment Option Services
Lit No: 85-30730-20
Revised: 08/30/2018
Form ID: 55584
Publish: 08/31/2018
Details
Pacific Life & Annuity (NY-Life Insurance)
Withdrawal Request
Lit No: 85-29031-23
Revised: 08/30/2018
Form ID: 55585
Publish: 08/31/2018
Details
Pacific Life & Annuity (NY-Life Insurance)
Loan Request
Lit No: 85-29030-23
Revised: 08/30/2018
Form ID: 55586
Publish: 08/31/2018
Details
Pacific Life & Annuity (NY-Life Insurance)
Term Conversion Request
Lit No: 85-25349-37
Revised: 08/30/2018
Form ID: 55587
Publish: 08/31/2018
Details
Pacific Life & Annuity (NY-Life Insurance)
Surrender Request
Lit No: 85-21859-09
Revised: 05/01/2017
Form ID: 55588
Publish: 05/01/2017
Details
Pacific Life & Annuity (NY-Life Insurance)
Application for Reinstatement, VUL, AP8801VL-NY
Lit No: 85-21247-07
Revised: 06/05/2015
Form ID: 55589
Publish: 05/01/2017
Details
Pacific Life & Annuity (NY-Life Insurance)
Acknowledgment-Potential Taxation of Death Benefit
Lit No: 85-28624-03
Revised: 08/26/2016
Form ID: 55590
Publish: 04/17/2017
Details
Pacific Life & Annuity (NY-Life Insurance)
Lost Policy Affidavit
Lit No: 85-46188-00
Revised: 01/06/2017
Form ID: 55591
Publish: 04/18/2017
Details
Pacific Life & Annuity (NY-Life Insurance)
Settlement Option Election Form
Lit No: 85-43530-00
Revised: 06/02/2014
Form ID: 55592
Publish: 04/20/2017
Details
Pacific Life & Annuity (NY-Life Insurance)
Ownership, Beneficiary, or Name Change Request
Lit No: 85-43506-05
Revised: 07/30/2018
Form ID: 55593
Publish: 07/27/2018
Details
Pacific Life & Annuity (NY-Life Insurance)
Third Party Designation Request
Lit No: 85-42346-01
Revised: 12/05/2014
Form ID: 55594
Publish: 04/18/2017
Details
Pacific Life & Annuity (NY-Life Insurance)
Settlement Option Descriptions
Lit No: 85-30794-03
Revised: 08/01/2018
Form ID: 55595
Publish: 07/31/2018
Details
Pacific Life & Annuity (NY-Life Insurance)
Life Insurance Claim Form
Lit No: 85-30792-03
Revised: 05/01/2014
Form ID: 55596
Publish: 05/01/2017
Details
Pacific Life & Annuity (NY-Life Insurance)
Indexed Products Transfer Request-IUL
Lit No: 85-30728-06
Revised: 03/29/2018
Form ID: 55597
Publish: 04/19/2018
Details
Pacific Life & Annuity (NY-Life Insurance)
Req Min Distribution Response/Withdrawal Request
Lit No: 85-30313-01
Revised: 05/01/2014
Form ID: 55598
Publish: 04/18/2017
Details
Pacific Life & Annuity (NY-Life Insurance)
Other Interested Party Authorization Request
Lit No: 85-30277-03
Revised: 12/05/2014
Form ID: 55599
Publish: 04/18/2017
Details
Pacific Life & Annuity (NY-Life Insurance)
Certificate of Insurance/Duplicate Policy Request
Lit No: 85-29027-03
Revised: 01/06/2017
Form ID: 55600
Publish: 04/18/2017
Details
Pacific Life & Annuity (NY-Life Insurance)
Billing and Premium Change Request
Lit No: 85-29026-02
Revised: 11/03/2014
Form ID: 55601
Publish: 04/18/2017
Details
Pacific Life & Annuity (NY-Life Insurance)
Address Change Request
Lit No: 85-29025-01
Revised: 11/03/2014
Form ID: 55602
Publish: 04/17/2017
Details
Pacific Life & Annuity (NY-Life Insurance)
Authorization to Obtain Information, A12AUT
Lit No: 85-25029-08
Revised: 05/01/2014
Form ID: 55603
Publish: 04/18/2017
Details
Pacific Life & Annuity (NY-Life Insurance)
Policy Change Request Form
Lit No: 85-24198-04
Revised: 07/07/2014
Form ID: 55604
Publish: 05/01/2017
Details
Pacific Life & Annuity (NY-Life Insurance)
Election to Waive the Necessary Premium Exception
Lit No: 85-24142-02
Revised: 07/07/2014
Form ID: 55605
Publish: 04/18/2017
Details
Pacific Life & Annuity (NY-Life Insurance)
Acceptable Forms of Payment
Lit No: 85-24005-10
Revised: 07/07/2014
Form ID: 55606
Publish: 04/17/2017
Details
Pacific Life & Annuity (NY-Life Insurance)
Status of Divorce
Lit No: 85-23943-07
Revised: 04/04/2014
Form ID: 55607
Publish: 04/18/2017
Details
Pacific Life & Annuity (NY-Life Insurance)
Electronic Funds Transfer (EFT)
Lit No: 85-23444-12
Revised: 01/06/2017
Form ID: 55608
Publish: 04/18/2017
Details
Pacific Life & Annuity (NY-Life Insurance)
Claimant's Supplementary Stmnt of Total Disability
Lit No: 85-22259-02
Revised: 07/07/2014
Form ID: 55609
Publish: 05/10/2017
Details
Pacific Life & Annuity (NY-Life Insurance)
Claimant's Preliminary Stmnt of Total Disability
Lit No: 85-22258-02
Revised: 07/07/2014
Form ID: 55610
Publish: 05/09/2017
Details
Pacific Life & Annuity (NY-Life Insurance)
Release of Assignment
Lit No: 85-21855-06
Revised: 07/07/2014
Form ID: 55611
Publish: 04/18/2017
Details
Pacific Life & Annuity (NY-Life Insurance)
Policyowner Service Transmittal
Lit No: 85-21851-07
Revised: 06/02/2014
Form ID: 55612
Publish: 04/18/2017
Details
Pacific Life & Annuity (NY-Life Insurance)
Plan Information Document
Lit No: 85-21845-09
Revised: 06/05/2015
Form ID: 55613
Publish: 04/20/2017
Details
Pacific Life & Annuity (NY-Life Insurance)
Term Rider Conversion Disclosure
Lit No: 85-21825-03
Revised: 06/02/2014
Form ID: 55614
Publish: 04/18/2017
Details
Pacific Life & Annuity (NY-Life Insurance)
Authorization to Exercise Ownership Rights
Lit No: 85-21806-03
Revised: 03/10/2014
Form ID: 55615
Publish: 04/17/2017
Details
Pacific Life & Annuity (NY-Life Insurance)
Auth to Obtain Info, A13AUS-NY
Lit No: 85-42410-00
Revised: 05/30/2017
Form ID: 56193
Publish: 06/07/2017
Details
Pacific Life & Annuity (NY-Life Insurance)
PL&A Drug Questionnaire-NY
Lit No: 85-21791-05
Revised: 06/02/2014
Form ID: 60869
Publish: 02/22/2018
Details
Pacific Life & Annuity (NY-Life Insurance)
PL&A Alcohol Questionnaire-NY
Lit No: 85-21789-05
Revised: 06/02/2014
Form ID: 60870
Publish: 02/22/2018
Details
Pacific Life & Annuity (NY-Life Insurance)
Indexed Interest Disclosure-IUL-NY
Lit No: 85-43539-03
Revised: 06/28/2018
Form ID: 62956
Publish: 07/05/2018
Details
Pacific Life & Annuity (NY-Life Insurance)
Beneficiary Change Request
Lit No: 85-47793-00
Revised: 07/30/2018
Form ID: 63303
Publish: 07/27/2018
Details

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Loring Ward
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Quaker Funds
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ReliaStar Life Insurance Company of New York
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Rodin Global Property Trust
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Sammons Retirement Solutions
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Scholars Choice
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Shopoff Realty Investments
Sierra Income Corporation
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Spire Investment Partners, LLC
Steben & Company
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Thornburg Investment Management
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Toews Corporation
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TriLinc Global Impact Fund
Triloma
Triton Pacific Investment Corporation & TB, LP
US Government
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Van Eck Global
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W P Carey & Co.
Wasatch Funds
Waveland Energy Partners
WBI Investments
Weitz Funds
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Western National - American General
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