Savings & Retirement Administration Forms | EquiNet Equitable Life's advisor site

Point of Sale Materials

Segregated Funds:

Pivotal Select Applications (EZcomplete, Reg/Non-Reg, TFSA, FHSA)
Pivotal Select Contract and Information Folder (Form #1403)
Pivotal Select Fund Facts (Form #1366, Electronic version)
Investor Profile Questionnaire (optional) (Questionnaire, Guide)

Guaranteed Interest Account:

GIA Reg/Non-Reg Application (Form #799)
GIA TFSA Application (Form #796)
GIA Contract (Form #1790)

Payout Annuity:

Payout Annuity Application (Form #355)

Supply Order Form: Use this form to order paper copies of the point-of-sale materials.

Online Tools and Resources

EZcomplete: Easily submit segregated fund applications using this online tool.
EZtransact: Easily submit client requests using this online tool for segregated funds. Currently supports pre-authorized debit requests.
Address Changes: Submit your client’s address changes in this online form.
Conversion Resources: Forms to convert your client’s RRSP/LIRA to a RRIF/LIF.

Administration Forms

This table includes downloadable marketing materials saved in PDF format. Each row is a different product and may contain versions of the brochure in alternate languages.
Form Number	Marketing Material Name	Available Languages
1969	Claimant Statement for entities- Savings and Retirement (2021/05/11) File Available in PDF only (fillable/savable)	FR
2096	DUCA Credit Union Lending Arrangement File	FR
0594 GUIDE	Guide to Completing Business Information Form File	FR
0693INV	Investment Direction Form - Savings & Retirement File DYNAMIC FORM: This form generates the applicable sections based on the products and options selected on page one. To support this functionality, the form must be downloaded to your computer and opened with Adobe Acrobat. It is not compatible with mobile devices and other PDF viewers.	FR
2086	Pivotal Select FHSA Application File (fillable/savable)	FR
2004	Signing Authorities Certificate File	FR
0031 GUIDE	Guide to Completing the Third Party Form File	FR
1027	Additional/Updated Customer Information (2021/04/02) File Available in PDF (fillable / savable)	FR
0891	Agent of Record Change Request (2020/06/30) File Available in PDF only (fillable/savable)	FR
0455	Annuity Settlement Option File	FR
0671BCF	Beneficiary Change Request Form File Available in PDF only (fillable/savable)	FR
0594	Business Information Form File Available in PDF only (fillable/savable)	FR
1388	Change of Sales Charge Option (Pivotal Select) (2020/12/07) File (fillable/savable)	FR
1516	Claimant Statement - Savings and Retirement (2022/03/10) File Available in PDF only (fillable/savable)	FR
1605	DSC & Transfer Fee Reimbursement Request Form File Available in PDF only (fillable/savable)	FR
0686	GDA Special Quote Form (2015/05/12) File Available in PDF only (fillable/savable)	FR
1790	Guaranteed Interest Account Contract (2021/07/06) File GIA contract summary	FR
0375SEL	Pivotal Select segregated fund codes and fees (2023/02/17) File A reference document listing all of Equitable Life's segregated fund codes (past and present). (Available in PDF only)	FR
0799	Guaranteed Interest Accounts Reg/Non Reg Application File (fillable/savable)	FR
0796	Guaranteed Interest Accounts, Tax-Free Savings Account Application File (fillable/savable)	FR
0375ANN	Equitable’s Legacy Products: Personal Investment Portfolio and Pivotal Solutions Segregated Fund Codes (2022/02/16) File Personal Investment Portfolio and Pivotal Solutions segregated fund codes. (Available in PDF only)	FR
0014	Limited Trading Authorization File Available in PDF only (fillable/savable)	FR
0671NC	Name Change Form File Available in PDF only (fillable/savable)	FR
1508	Non-Resident Transactions (2020/08/10) File Equitable Life is not registered to sell savings and retirement products outside of Canada, however an existing Equitable Life client may choose to move to a different country. When a client becomes a non-resident some types of transactions may be restricted. (Available in PDF only)	FR
0671OC	Ownership Change Form File Available in PDF only (fillable/savable)	FR
1366	Pivotal Select Fund Facts File Looking for more fund information, we’ve got you covered – not just at purchase, but in the years to come too.	FR
0355	Payout Annuity Application (2022/03/08) File (fillable/savable)	FR
0687	Payout Annuity Quote Template (2014/03/06) File Available in PDF only (fillable/savable)	FR
1403	Pivotal Select Contract and Information Folder File A complete and detailed disclosure of all material facts relating to Equitable Life's Pivotal Select product. The Pivotal Select Fund Facts must accompany this item.	FR
1384	Pivotal Select Application Registered/Non-Registered File (fillable/savable)	FR
1383	Pivotal Select TFSA Application File (fillable/savable)	FR
0378	Pre-Authorized Debit Form File Available in PDF only (fillable/savable)	FR
0047	Request for Direct Deposit Plan File Available in PDF only (fillable/savable)	FR
1673	RRSP to RRIF Conversion Form (2020/08/10) File Available in PDF only (fillable/savable)	FR
1582	TFSA Third Party Contribution File Available in PDF only (fillable/savable)	FR
0031	Third Party Form File	FR
0114	Transfer Authorization Form File Available in PDF only (fillable/savable)	FR
1820	Verification of Identification (Remote Signer) (2021/04/01) File Available in PDF only (fillable/savable)	FR
1319	Withdrawal Request Form (Pivotal Select) File Available in PDF only (fillable/savable)	FR