| AE-1241-NY | Accident Insurance Enrollment Form - New York |
| AE-1023-NY | Accident Schedule of Benefits (On/Off Job - Plan 1) - New York |
| AE-1022-NY | Accident Schedule of Benefits (On/Off Job Reduced - Plan 3) - New York |
| 7713-04-NY | ACH Authorization and Agreement for Auto Payments - New York |
| CS-1157-1-NY | ACH Authorization and Agreement for Auto Payments - NY (First Unum) |
| CS-1181-NY | Acknowledgment of Prior Assignment of Group Life Insurance - New York |
| AE-1118-KY | Application - Evidence of Insurability - Group Accident Insurance - Kentucky |
| AE-1118-NY | Application - Evidence of Insurability - Group Accident Insurance - New York |
| C-1339-NY | Application - Disability Insurance - New York |
| 1143-01-NY | Application - Evidence of Insurability - New York (FOR LIFE ONLY) |
| AE-1087-KY | Application - Evidence of Insurability - eGCI - Kentucky |
| AE-1087-NY | Application - Evidence of Insurability - eGCI - New York |
| CL-21589-NY | Application - Fortune Voluntary Life - *REQUIRED |
| AE-1249-KY | Application - Group Dental and Vision Insurance - Kentucky |
| AE-1249-NY | Application - Group Dental and Vision Insurance - New York |
| AE-1144-KY | Application - Group Hospital Indemnity - Evidence of Insurability - Kentucky |
| AE-1144-NY | Application - Group Hospital Indemnity - Evidence of Insurability - New York |
| AE-1080-NY | Application - Group Insurance (Master App) - New York |
| AE-1212-NY | Application - Group Master App (Consolidated) Non-Trust - New York |
| AE-1090-NY | Application - Guaranteed Standard Application - New York |
| 8001-06-KY | Application - ILTC03 2006 - Kentucky |
| 8001-06-NY | Application - ILTC03 2006 - New York |
| A-32366-KY | Application - Individual Income Protection - Kentucky |
| AE-1067-KY | Application - Life Conversion - Kentucky |
| AE-1067-WY | Application - Life Conversion - Wyoming |
| AE-1038-NY | Application - Portability AA NY w/o Sickness and Injury Wording |
| L-21814-KY | Application - Voluntary Disability Income Simply Unum - Kentucky |
| CS-1179-NY | Assignment Group Life - New York |
| CS-1183-NY | Assignment Group Life Release - New York |
| CS-1057-NY | Assignment Life Under Portable Life - New York |
| CS-1180-NY | Assignment Portable Group Life - New York |
| CS-1244-NY | Authorization and Agreement for Automatic Payments - NY |
| 29-86-NY | Authorization Auto Pay - New York |
| CS-1237-NY | Authorization for Third Party Group Long Term Care - New York |
| 1225-03-AUTH-NY | Authorization Statement IDI - First Unum - New York |
| CS-1277-NY | Beneficiary change form - New York |
| CS-1211-NY | Beneficiary Change Request Voluntary Benefits - New York |
| AE-1172-NY | Beneficiary Designation Form - Group |
| AE-1173-NY | Beneficiary Designation Form - Individual |
| AE-6007-NY | Certification of Major Medical Insurance, Basic Hospital Insurance and Basic Medical Insurance Coverage |
| MK-573404-NY | Children's Whole Life (money purchase) employee education flyer - New York |
| MK-573456-NY | Children's Whole Life (volume purchase) employee education flyer - New York |
| 1130-00-NY | Claim DB-450 Reimbursement - First Unum |
| CS-1087-NY | Client Information - Existing Client - New York |
| G-71724-KY | Consent Form - HIV - Kentucky |
| G-71724-NY | Consent Form - HIV - New York |
| AE-1256-NY | Critical Illness Issue Age Portability form - New York |
| L-52490-NY | Customer Service Request - Life Voluntary Benefits Division |
| L-52490-WK-NY | Customer Service Request - New York - Welcome Kit |
| G-2576 NY | DBL - Statement of Rights (English/Spanish) - Paul Revere |
| 7712-04-NY | Election to Continue Your LTC Insurance Coverage - New York |
| 1334-03-NY | Enrollment - AA Lifestyle Life - New York |
| 1333-03-NY | Enrollment - CXC Life/ADD - New York |
| 1332-03-NY | Enrollment - CXC Lifestyle Life - New York |
| AE-1213-NY | Enrollment - Life Insurance Election of Portability Coverage - New York |
| AE-1101-NY | Enrollment - LTD Generic Dimensional - New York |
| EB-605-NY | Enrollment - Portability Life - New York |
| EB-1-NY | Enrollment Form, Over 250 - New York (Provident) |
| 1424-99-NY | Enrollment Portability CXC Special Risk AD&D - New York |
| G-2508(96-4)-NY | Enrollment Refusal Request - New York |
| AE-1216-KY | Evidence of Insurability – Statement of Health - Kentucky |
| AE-1216-NY | Evidence of Insurability – Statement of Health - New York (Critical Illness and Hospital only) |
| AE-1166-KY | Exclusions and Terminations Form - Group Hospital Indemnity - Kentucky |
| AE-1166-NY | Exclusions and Terminations Form - Group Hospital Indemnity - New York |
| CS-1122-NY | Fact Sheet - Portability - Life AA Series - New York |
| CS-1121-NY | Fact Sheet - Portability - Life CXC Series - New York |
| 1078-05-NY | Flexible Spending Accounts Employee Info - New York |
| AE-1107-NY | Form - Group Enrollment - New York (First Unum) |
| 1275-03-NY | Form - Group Enrollment Small Case - New York (First Unum) |
| G-71987-KY | Form - Life Replacement - Kentucky - *REQUIRED |
| G-71987-WY | Form - Life Replacement - Wyoming - *REQUIRED |
| CL-1069-NY | Form Unavailable in Repository. |
| AE-7000-KY | GLTC Potential Rate Increase Disclosure Form |
| AE-1250-NY | Group Dental and Vision Enrollment Form - New York |
| AE-1165-KY | Group Hospital Indemnity - Difference Guide/Transfer Form - Kentucky |
| G-EVIAPP(95-6)-KY | Group Insurance Evidence of Insurability - Kentucky |
| G-EVIAPP(95-6)-NY | Group Insurance Evidence of Insurability - New York |
| AE-1268-KY | Group Whole Life Enrollment Form for use with ADB for LTC - Kentucky |
| AE-1245-NY | Guaranteed Standard Application - New York |
| AE-1246-NY | Guaranteed Standard Application - New York - 180 days |
| AE-1242-NY | Hospital Insurance Enrollment Form - New York |
| AE-1248-NY | IDI - Policy Change Application - New York |
| AE-1066-KY | Life Conversion Rate Sheet - Kentucky |
| AE-1066-NY | Life Conversion Rate Sheet - New York |
| CS-1236-NY | Loan Request Voluntary Benefits |
| L-21612 OC-KY | Long Term Care Rider, Outline of Coverage - KY - *REQUIRED |
| TM-059-NY | Long term disability (LTD) specimen contract-NY |
| 6724-03-NY | LTC Affidavit of Domestic Partnership - New York |
| AE-1183-NY | LTC Personal Worksheet - New York |
| 6604-03-NY | LTC03 Conditional Receipt - New York |
| 6621-03-NY | LTC03 Medicare Disclosure Notice - New York |
| 6615-03-NY | LTC03 Producer Certification - New York |
| 6622-03-NY | LTC03 Producer Commission Form - New York |
| 6616-03-NY | LTC03 Protection Against Unintentional Lapse (3rd Party Designation) - New York |
| 6602-03-NY | LTC03 Replacement Notice - New York |
| 6617-03-KY | LTC03 Things You Should Know - Kentucky |
| 6617-03-NY | LTC03 Things You Should Know - New York |
| 6720-03-NY | Medical Authorization Form (HIPAA) - New York |
| 6721-03-NY | Medical Authorization Form (HIPAA) - New York |
| G-71987-NY | New York Life Insurance Replacement Notice - *REQUIRED |
| L-21585-OC-MD-SD-WY | Outline of Coverage - Cancer Insurance - Maryland/South Dakota/Wyoming - *REQUIRED |
| 7719-04-NY | Protection Against Unintentional Lapse Designee Acceptance Form - New York |
| F-601761-98-NY | Reinstatement Application - New York |
| 1178-96-NY | Request for Change - Portability Protection Plan - New York |
| AE-1231-NY | Specified Disease Election of Portability Form - New York |
| AE-1232-NY | Specifiied Disease Enrollment Form - NY |
| CS-1210-EN-NY | Third Party Designation – Enrollment use only - NY (only for Whole and ISTD when the Policy owner is 62 or over) |
| CS-1210-LC-NY | Third Party Designation – L70/CIA - NY |
| CS-1210-NY | Third Party Designation - NY |
| CS-1291-NY | VB - Beneficiary Designation - New York |
| AE-1210-NY | VD Portability Form - Group Disability - New York |
| SD-6003-NY | Voluntary Opt-in Consent Disclosure - New York |
| CS-1233-NY | Withdrawal and Loan Request Voluntary Benefits - New York |
