Life insurance forms

Form Name Description
Application for Reinstatement

(File Size 177 KB)

Use this form to apply to reinstate a lapsed policy. Payment of a premium may be required. Please contact Life Customer Service on 1800 221 727 for details.

Direct Debit Request

(File Size 167 KB)

Use this form to set up a direct debit against your bank account or credit card.

Nomination for payment of Death Benefits

(File Size 161 KB)

Use this form to nominate who you would like to receive your Suncorp Master Trust benefits in the event of your death.

Statutory Declaration for issue of Special Policy

(File Size 125 KB)

Use this form to apply for the issue of a Special Policy in the event that you have lost or cannot locate your policy document. A fee of $50 may apply. Please contact Life Customer Service on 1800 221 727 for details.

Tax File Number Quotation Form

(File Size 124 KB)

Use this form to provide Tax File number for a policy in the Suncorp Master Trust.

Modify/add nominated beneficiaries

(File Size 116 KB)

Use this form to nominate who you would like to receive your non superannuation benefits in the event of your death.

Alteration to non-smoking premium rates

(File Size 127 KB)

Use this form to apply to change from smoker premium rates to non-smoking rates.

Annexure of Assignment

(File Size 130 KB)

Use this form to arrange transfer of ownership of your life policy. Please contact Life Customer service on 1800 221 727 for other requirements.


Asteron Life™ is committed to providing customers with long term financial security. We provide life insurance products including Income Protection Covers, Trauma Cover, Total & Permanent Disablement (TPD) Cover, Life Cover and Business Expenses Cover. We are committed to helping customers get - and stay - healthy for life, by giving customers access to the Asteron Life Wellbeing Program. To obtain a copy of our privacy statement, please contact us on 1800 221 727 or visit the following website www.asteronlife.com.au/privacy to view or download the policy.