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USA Agent forms
We are pleased to provide our Agents with 24 hour access to forms. Simply select the State that you are interested in and click on Go.
Forms are only available for States
in which IAP is admitted to write business. If you need assistance or
do not see the form you require, please Contact
Us.
Use of these forms is restricted to: currently
licensed agents contracted with Industrial Alliance Pacific;
agents or their respective management in the contracting process with
Industrial Alliance Pacific; or Industrial Alliance Pacific
Policyowners requiring service on their policies.
Unauthorized use and or amendment of these forms
is prohibited. Industrial Alliance Pacific accepts no responsibility
for the unauthorized use and or amendment of these forms.
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