Life Insurance Application 

Life Insured

Coverage Selected

Beneficiary 

Existing Coverage

Never cancel or modify existing life insurance coverage until your new policy is fully inforce

Medical History Call 

The Term Guy is a licensed life insurance agency serving residents of Ontario (Lic #37992M), British Columbia (Lic. #LIC-2021-0030559-R02), and Alberta (Lic. #5-11247944-2021).