PACIFIC LIFE FORMS
Annuitization Request - 6723
Annuitization Request - 6725 [NY]
Annuity Contract Delivery Receipt - 1109-(NY)
Appointment Data Sheet - Individual - 6412
Appointment Data Sheet - Individual - 6413 [NY]
Authorization - Request For Annuity List Bill - 1171-(NY)
Collateral Assignment or Release - 5992
Collateral Assignment or Release - 6011 [NY]
Comparison Statement for Replacement of Life Insurance - 202 [AR]
Contract Change Request - 6262
Contract Change Request - 6263 [NY]
Contract Summary - 184 [KY]
Cost Basis Information - 1083 [NY]
Credit Enhancement Disclosure - 410-(NY)
Death Benefit Disclaimer - 1018-(NY)
Disclosure Statement (Annuity To Annuity Replacement Only) - 144-(NY)
Disclosure Statement (Life Ins To Annuity Replacement) - 143-(NY)
Earnings Enhancement Guarantee (EEG) Rider Request - 6707
GIA Rider Request
GPA5 - Rider Request - 2311
Guaranteed Protection Advantage Rider Request - 2066-(NY)
Individual-Owned Inherited IRA Certification - 5541
Individual-Owned Inherited IRA Certification - 5542 [NY]
Inherited IRA Or TRA-403(b) RMD Request - 2502-(NY)
Life Insurance and Annuity Buyers Guide - 1149 [KY]
Lost Contract Affidavit - 363 [NY]
NAV Authorization - 3052
Non-ERISA TSA Loan Application - Agreement - 1586-(NY)
Non-Natural Or Corporate-Owned Disclosure Statement - 1292-(NY)
Pacific Frontiers App - 2780 [WA]
Pacific Innovations Select App - 5012 [NY]
Pacific Innovations Select App - 5118 [MN]
Pacific Innovations Select App - 5410 [PA]
Pacific Innovations Select App - 5416 [OR]
Pacific Innovations Select App - 5647 [NJ]
Pacific Innovations Select App - 5866 [Generic]
Pacific Innovations Select App - 5868 [AZ]
Pacific Innovations Select App - 5869 [DC]
Pacific Innovations Select App - 5870 [CA]
Pacific Innovations Select App - 5871 [FL]
Pacific Innovations Select App - 5872 [MD]
Pacific Innovations Select App - 5873 [TX]
Pacific Innovations Select App - 5874 [VT]
Pacific Innovations Select App - 5875 [WA]
Pacific Innovations Select App - 6341 [NC]
Pacific Innovations Select App - 6977 [NV]
Pacific Journey - 6147 [Generic]
Pacific Journey - 6149 [AZ]
Pacific Journey - 6150 [CA]
Pacific Journey - 6153 [FL]
Pacific Journey - 6157 [MN]
Pacific Journey - 6162 [OR]
Pacific Journey - 6164 [TX]
Pacific Journey - 6166 [WA]
Pacific Journey - 6167 [DC]
Pacific Journey - 6343 [NC]
Pacific Odyssey App - 2964 [IL]
Pacific Odyssey App - 5021 [NY]
Pacific Odyssey App - 5125 [MN]
Pacific Odyssey App - 5177 [DC]
Pacific Odyssey App - 5408 [PA]
Pacific Odyssey App - 5414 [OR]
Pacific Odyssey App - 5641 [NJ]
Pacific Odyssey App - 5705 [TX]
Pacific Odyssey App - 5837 [WA]
Pacific Odyssey App - 5838 [VT]
Pacific Odyssey App - 5840 [FL]
Pacific Odyssey App - 5841 [CA]
Pacific Odyssey App - 5844 [AZ]
Pacific Odyssey App - 5846 [Generic]
Pacific Odyssey App - 5901 [MD]
Pacific Odyssey App - 6342 [NC]
Pacific One Select App - 2968 [GA-MO-NH]
Pacific One Select App - 2969 [IL]
Pacific One Select App - 5124 [MN]
Pacific One Select App - 5175 [DC]
Pacific One Select App - 5409 [PA]
Pacific One Select App - 5465 [OR]
Pacific One Select App - 5643 [NJ]
Pacific One Select App - 5698 [TX]
Pacific One Select App - 5828 [VT]
Pacific One Select App - 5829 [WA]
Pacific One Select App - 5830 [Generic]
Pacific One Select App - 5831 [AZ]
Pacific One Select App - 5832 [CA]
Pacific One Select App - 5833 [FL]
Pacific One Select App - 5834 [MD]
Pacific One Select App - 6338 [NC]
Pacific Portfolios App - 1374 [OR]
Pacific Portfolios App - 280 [MS]
Pacific Portfolios App - 280-Hybrid [Generic]
Pacific Portfolios App - 876 [CO-IN-KY-LA-MI-OH-WV]
Pacific Portfolios App - 879 [FL]
Pacific Portfolios App - Chase - 5057 [NY]
Pacific Value App - 5019 [NY]
Pacific Value App - 5119 [MN]
Pacific Value App - 5173 [DC]
Pacific Value App - 5411 [PA]
Pacific Value App - 5415 [OR]
Pacific Value App - 5646 [NJ]
Pacific Value App - 5695 [AL]
Pacific Value App - 5847 [WA]
Pacific Value App - 5848 [TX]
Pacific Value App - 5849 [VT]
Pacific Value App - 5852 [MD]
Pacific Value App - 5854 [FL]
Pacific Value App - 5855 [CA]
Pacific Value App - 5856 [AZ]
Pacific Value App - 5857 [Generic]
Pacific Value App - 6337 [NC]
Pacific Value Edge App - 6741 [Generic]
Pacific Value Edge App - 6795 [WA]
Pacific Value Edge App - 6796 [VT]
Pacific Value Edge App - 6797 [TX]
Pacific Value Edge App - 6798 [OR]
Pacific Value Edge App - 6799 [NC]
Pacific Value Edge App - 6800 [FL]
Pacific Value Edge App - 6801 [DC]
Pacific Value Edge App - 6802 [CA]
Pacific Value Edge App - 6803 [AZ]
Pacific Value Edge App - 6808 [MN]
Pacific Value Edge App - 6810 [PA]
Pacific Value Edge App - 7154 [VA]
Pacific Value Edge App - 7155 [NH]
Pacific Voyages App - 5018 [NY]
Pacific Voyages App - 5117 [MN]
Pacific Voyages App - 5167 [DC]
Pacific Voyages App - 5412 [PA]
Pacific Voyages App - 5648 [NJ]
Pacific Voyages App - 5696 [Generic]
Pacific Voyages App - 5697 [TX]
Pacific Voyages App - 5859 [VT]
Pacific Voyages App - 5860 [CA]
Pacific Voyages App - 5861 [AZ]
Pacific Voyages App - 5863 [MD]
Pacific Voyages App - 5864 [FL]
Pacific Voyages App - 5865 [WA]
Pacific Voyages App - 5892 [AL]
Pacific Voyages App - 6433 [NC]
Pacific Voyages App - 6621 [OR]
Portfolio Optimization Enrollment Request - 5486 [NY]
Portfolio Optimization Enrollment Request - 5975
Portfolio Optimization Enrollment Request - Chase - 636 [NY]
Portfolio Optimization Rider Request and Termination - 5902 [NY]
Portfolio Optimization Rider Request and Termination - 5979
Preauthorized Investment Request - 1952
PreAuthorized Investment Request - 1952 [NY]
Predetermined Beneficiary Payout Option - 1643
Predetermined Beneficiary Payout Option - 1643 [NY]
Qualified Plan Disclosure - 172 [Generic]
Qualified Plan Disclosure - 172-(NY)
Regulation 60 Authorization To Release - 106 [NY]
Regulation 60 Sales Material Checklist - 107 [NY]
Reset-Setup Form - 5903 [NY]
Reset-Setup Form - 5922
Ria Fee Withdrawal Authorization - 310-(NY)
Ria Fee Withdrawal Request - 1764
Ria Fee Withdrawal Request - 311 [NY]
Rider Exchange Request - 2623
Rider Exchange Request - 5906 [NY]
Rider Exchange Request - 5921
RMD Request - 6031
RMD Request - 6032 [NY]
SEPP Request - 348-(NY)
Simple IRA Employer Information - 334 [Generic]
Simple IRA Employer Information - 334 [NY]
Single Premium Deferred Annuity Disclosure - 6039 [OH]
Special Beneficiary Designation Request - 5371 [NY]
Special Beneficiary Designation Request - 5431
State Replacement Form Definition - 111-(NY)
State Replacement Forms - 110-(NY)
State Replacement Forms - 1565 [NC-OH-VA]
State Replacement Forms - 206 [DE]
State Replacement Forms - 207 [FL]
State Replacement Forms - 209 [ID]
State Replacement Forms - 210 [IL]
State Replacement Forms - 211 [IN]
State Replacement Forms - 213 [KS]
State Replacement Forms - 217 [MA]
State Replacement Forms - 220 [MO]
State Replacement Forms - 229 [OK]
State Replacement Forms - 231 [PA]
State Replacement Forms - 233 [SC]
State Replacement Forms - 235 [TN]
State Replacement Forms - 239 [WA]
State Replacement Forms - 241 [WI]
State Replacement Forms - 242 [WY]
State Replacement Forms - 353 [GA]
State Replacement Forms - 368 [CA-NE-OH]
State Replacement Forms - 5062 [SD]
State Replacement Forms - 5760 [MN]
State Replacement Forms - 6246 [Misc]
State Replacement Forms - 6839 [NV]
State Replacement Forms - 6914 [NV]
Tax-Sheltered Annuity Certification-TSA-403b - 5508
Tax-Sheltered Annuity Certification-TSA-403b - 6613 [NY]
Telephone-Electronic Auth - 1624
Telephone-Electronic Auth - 1624 [NY]
Transfer and Allocations - 6749
Transfer and Allocations - 6750 [NY]
Transfer and Allocations - Chase - 709 [NY]
Transfer-Exchange - 5467
Transfer-Exchange - 5522 [NY]
Trust Agreement Certification - 354
Trust Agreement Certification - 354 [NY]
Trust-Owned Inherited IRA Certification - 5539
Trust-Owned Inherited IRA Certification - 5540 [NY]
Variable Annuity Commission Option Election - 6630
Variable Annuity Commission Option Election - 6631 [NY]
Withdrawal Request - 5724
Withdrawal Request - 6312 [NY]
Withdrawal Request - Chase - 708 [NY]
Withdrawal Request - GMWB Rider - 5690 [NY]
Withdrawal Request - GMWB Rider - 5974
Withdrawal Request - Income Access - 2345
Withdrawal Request - Income Access Plus - 635 [NY]
