AVIVA FORMS
403(b) and 457(b) Salary Reduction Change Form
403(b)-457(b) Annuity Application Pack [CT]
403(b)-457(b) Annuity Application Pack [Generic]
403(b)-457(b) Annuity Application Pack [MA]
457(b) Plan Transfer or Rollover Contribution Form
Account Transfer and Future Premium Allocation Request Form
Affidavit of Attorney-In-Fact
Agents Voucher For Lost Policies
Agreement of Transfer
Annuity Application Pack [All Except CT]
Annuity Application Pack [CT]
Annuity Application [All Except AZ-CO-FL-MA-NJ-NY-OK-PA-VA]
Annuity Application [MA]
Annuity Application [NJ]
Annuity Application [PA]
Annuity Withdrawal Form for 457(b) Plans
Appendix I - Equity-Indexed Annuities
Asset Builder 201 Certificate of Disclosure
Asset Builder 201 Flexible Premium Deferred Annuity Preliminary Contract Summary [WI]
Asset Builder 201 MVA Certificate of Disclosure
Authorization to Debit Checking or Statement Savings Account
Authorization To Draft Credit Card
Authorization To Transfer Funds To An Aviva Annuity
Automated (ACH) Loan Repayment Authorization
Aviva Elite Index Annuity Certificate of Disclosure [All Except CT-UT-WA]
Aviva Elite Index Annuity Certificate of Disclosure [CT-UT-WA]
Aviva Elite Index Annuity Preliminary Contract Summary [WI]
Aviva Elite Index Annuity Uniform Salary Reduction Disclosure
Aviva Flex Plus 457(b) Certificate of Disclosure
Aviva Flex Plus Certificate of Disclosure
Aviva Flex Plus Preliminary Contract Summary [WI]
Aviva Flex Plus Uniform Salary Reduction Disclosure
Aviva Flex Select 457(b) Certificate of Disclosure
Aviva Flex Select Certificate of Disclosure
Aviva Flex Select Preliminary Contract Summary [WI]
Aviva Flex Select Uniform Salary Reduction Disclosure
Aviva Integrity Index Annuity Prelimary Contract Summary [WI]
Aviva Performance Max Certificate of Disclosure
Aviva Performance Max MVA Certificate of Disclosure
Aviva Performance Plus Certificate of Disclosure
Aviva Performance Plus MVA Certificate of Disclosure
Aviva Progressive Index Annuity Certificate of Disclosure [All Except CT-TX-UT-WA]
Aviva Progressive Index Annuity Certificate of Disclosure [CT-TX-UT-WA]
Aviva Progressive Index Annuity Preliminary Contract Summary [WI]
Aviva Progressive Index Annuity Uniform Salary Reduction Disclosure
Buyers Guide To Annuities [All Except GA-NH-WI]
Buyers Guide To Annuities [GA]
Buyers Guide To Annuities [NH]
Buyers Guide To Annuities [WI]
Collateral Assignment
Consumer Annuity Certificate of Disclosure
Consumer Annuity MVA Certificate of Disclosure
Consumer Flexible Premium Deferred Annuity Preliminary Contract Summary [WI]
Designation Change Agent of Record
Direct Deposit Authorization Agreement
Direct Deposit of Commissions Authorization Agreement
Direct Mail Authorization Agreement
Disclosure to California Residents Age 65 Or Older [CA]
Eligible Rollover Distribution Election
Equity-Indexed Annuity Group Certificate Application Pack
Equity-Indexed TSA Annuity Group Ceriticate Application Pack
Flex 9 457(b) Certificate of Disclosure
Flex 9 Annuity Preliminary Contract Summary [WI]
Flex 9 Uniform Salary Reduction Disclosure
Full Surrender Form
Important Notice About Your Tsa Contract
Indemnification And Hold Harmless Agreement [All Except CA]
Indemnification And Hold Harmless Agreement [CA]
Life and Annuity Service Request Form
Loan Agreement For Tax-Sheltered Annuities
Notice and Acknowledgement Regarding Modified Endowment Contracts
Notice Regarding Standards For Medi-Cal Eligibility
Notice Regarding Standards For Medi-Cal Eligibility (Spanish)
Performance Max Preliminary Contract Summary [WI]
Performance Plus Preliminary Contract Summary [WI]
Replacement Notice [All Except AR-DE-FL-GA-ID-IL-IN-KS-MA-MI-MN-MO-NV-OK-PA-SD-TN-VA-WA-WI-WY]
Replacement Notice [AR]
Replacement Notice [DE]
Replacement Notice [FL]
Replacement Notice [GA]
Replacement Notice [ID]
Replacement Notice [IL]
Replacement Notice [IN]
Replacement Notice [KS]
Replacement Notice [MA]
Replacement Notice [MI]
Replacement Notice [MN]
Replacement Notice [MO]
Replacement Notice [NV]
Replacement Notice [OK]
Replacement Notice [PA]
Replacement Notice [SD]
Replacement Notice [TN]
Replacement Notice [VA]
Replacement Notice [WA]
Replacement Notice [WI]
Replacement Notice [WY]
Required Minimum Distribution Form
Salary Reduction Agreement
Salary Reduction Agreement 457(b) Plans
Savers Advantage 600 Preliminary Contract Summary [WI]
Savers Advantage 900 Preliminary Contract Summary [WI]
Saver’s Advantage 600 Certificate of Disclosure
Saver’s Advantage 900 Certificate of Disclosure
Section 457(b) Plan Information and Services Agreement
Senior Protection in Annuity Transactions [Generic]
Service Request Form for 403(b) and 457(b) Plans
Settlement Option Election Form - Death Claim
Strategy Advantage Certificate of Disclosure
Strategy Advantage Tax Sheltered Annuity Preliminary Contract Summary [WI]
Strategy Advantage Uniform Salary Reduction Disclosure
Strategy Transfer and Future Reallocation Request Form (All Except Builder 200)
Strategy Transfer and Future Reallocation Request Form (Builder 200)
Suitability Acknowledgement [WV]
Supplemental Application [All Except ME-SC]
Supplemental Application [ME]
Supplemental Application [SC]
Systematic Distribution Agreement
Tax Sheltered Annuity Withdrawal Form
Transfer of Ownership
Transfer of Policy - Deceased Policyowner
Trust Endorsement
Trustee Certificate
TSA Annuity Application Pack
TSA Application [All Except PA]
TSA Application [PA]
TSA-403(b) Transfer or Direct Rollover Form
TSA-457(b) Annuity Application Pack [All Except CT]
TSA-457(b) Annuity Application Pack [CT]
ValueGuard Certificate of Disclosure
ValueGuard Flexible Premium Deferred Annuity Preliminary Contract Summary [WI]
ValueGuard WA SPDA Certificate of Disclosure
Withdrawal Form - Life and Annuity Contracts
