Nomination of beneficiaries
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By making a new nomination you agree to the terms below. We recommend you seek professional estate planning advice before making
a nomination. Once you make a nomination, you should also review the nomination regularly as nominations do not expire.
Nomination of beneficiaries
If you are the sole policy owner and the sole life insured you may nominate one or more beneficiaries to receive the benefit payable in the
event of your death. If you make a nomination we will pay this benefit directly to the nominated beneficiaries in the proportions specified
in the nomination.
Your nomination is subject to the following rules:
you must be both the only policy owner and life insured to make a valid nomination (note that for the purpose of this requirement, you are
still a sole life insured if there is also an insured child/children on the policy)
a nominated beneficiary must be an individual, corporation or trust
contingent nominations (e.g. nominations which provide for multiple scenarios) cannot be made
you may change a nomination at any time or revoke a previous nomination but the change does not take effect until we receive and accept
the new nomination
the nomination must be properly executed in the form we specify before we can accept it
you may have only one nomination in force at any time, and you cannot supplement a nomination (to add beneficiaries, you must replace
your nomination by making a new one)
an attempt at making a new nomination received by us revokes past nominations even if the attempt at making the nomination is defective
(if this occurs, and we do not hold a valid nomination, we will pay any benefit to your Legal Personal Representative)
if ownership of the policy is assigned to another person or entity, then any previous nomination is automatically revoked
payment of the benefit in the event of your death will be made using the latest unrevoked valid nomination
if a nominated beneficiary dies before you, the portion of the benefit nominated in respect of that beneficiary will be paid to your Legal
Personal Representative
if a nominated beneficiary is alive at the time of your death but we are notified of their subsequent death before we can pay him/her, then
the entitlement will be paid to the deceased beneficiary’s Legal Personal Representative
a nominated beneficiary has no rights under the policy, other than to receive the nominated policy proceeds after a claim has been admitted
by us. They cannot authorise or initiate any policy transaction
we may delay payment if your nomination or nominations become the subject of legal proceedings or external dispute resolution processes
a court order or decision of an external dispute resolution process in relation to a nomination overrides the nomination
your nomination must be witnessed by an individual who is not a nominated beneficiary noted in Section 2. This witness must identify
themself by name in the applicable section
Privacy
Zurich is bound by the Privacy Act 1988 (Cth). In completing the forms or questions herein you will be providing us with your personal and,
perhaps, sensitive information. The collection and management of this information is governed by the Privacy Act 1988. For a more detailed
explanation of Zurich’s Privacy Policy please visit our website at www.zurich.com.au or contact the Zurich Privacy Officer on 132 687 or email
us at privacy.officer@zurich.com.au
Nomination of beneficiaries
ZU11819 - V8 11/20 - MMEA-016165-2020
This form is to be completed if the policy owner wishes to nominate a beneficiary or change the existing nominated beneficiary on their Zurich
policy, where a death benefit is payable. To avoid delays, check that all questions have been answered fully. Please use BLOCK LETTTERS.
Policy number(s)
Policy type
Wealth Protection Active Sumo FutureWise Ezicover Other_______________________
Zurich Australia Limited ABN 92 000 010 195, AFSLN 232510
Nomination of beneficiaries
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1 Policy owner’s details
Title Surname
Given names Date of birth / /
Address State Postcode
Contact numbers
2 Nominations
Full name of beneficiary
(including title)
Address Date of birth Relationship % Split
1
/ /
.00
2
/ /
.00
3
/ /
.00
4
/ /
.00
5
/ /
.00
6
/ /
.00
Total percentage must equal 100% 100.00
I agree to the terms of nominating a beneficiary.
Any questions? Call 131 551
Please return the completed form to us:
By post, to Zurich Australia Limited, Customer Care, Locked Bag 994, North Sydney NSW 2059, or
By email, as a scanned attachment, to client.service@zurich.com.au
Print FormSave File
Name of policy owner
Title Surname
Given name
Signature of policy owner Date
7 / /
Name of witness (not named as a beneficiary)
Title Surname
Given name
Signature witness Date
7 / /