Medium

Available on

Apple Android Windows

Application for Life Insurance and Annuity Mobile App

Now you can fill out a life insurance or annuity application digitally using any mobile device with this mobile application! Get this app! Customize it to meet your insurance company's requirements, or simply use this app as is to quickly fill out the application and speed up processing. Key in specifics such as proposed insured details, beneficiary, coverage amounts, plans and payment years, electronic funds transfer details, and agreement. Sign in the app to instantly authorize and submit application on just a tap!

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

Want to learn more about GoCanvas?

Request a Demo

Take a peek inside the Application for Life Insurance and Annuity Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

  • {{data.title}}

Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    First

  • Ico textbox

    M.

  • Ico textbox

    Last

  • Ico date

    Birth date (mo / day / year)

  • Ico integer

    Age

  • Ico textbox

    Sex

  • Ico textbox

    Social Security Number

  • Ico multiline

    Street

  • Ico textbox

    City

  • Ico dropdown

    Select State

  • Ico integer

    Zip

  • Ico textbox

    Telephone

  • Ico textbox

    Proposed Insured Email

  • Ico textbox

    Payor Email (If different than proposed insured)

  • Ico checkbox

    Owner

  • Ico checkbox

    Payor (If different than Proposed Insured)

  • Ico textbox

    Relationship to Insured

  • Ico multiline

    Street

  • Ico textbox

    City

  • Ico dropdown

    Select State

  • Ico integer

    Zip

  • Ico textbox

    Telephone

  • Ico textbox

    Primary

  • Ico textbox

    Relationship to Insured

  • Ico textbox

    Contingent

  • Ico textbox

    Relationship to Insured

  • Ico textbox

    Primary Beneficiary Email

  • Ico textbox

    Contingent Beneficiary Email

  • ...and More!

Related Finance & Insurance Apps... and they're all free for GoCanvas subscribers!

App Name

New Customer Form

This new customer form mobile app provides simple new customer forms for service based companies such as dry cleaning, law...

App Name

School Injury Report - Simple Version

If you're a staff member at a school the School Injury Report Mobile App is perfect for collecting key accident/injury inf...

App Name

OSHA - Notice of Alleged Safety Viola...

"OSHA inspections for occupational safety can reveal health hazards and even imminent danger. This mobile app for the comp...

App Name

Parking Citation

The Parking Citation mobile app for police departments and parking services professionals makes it possible to generate ne...

App Name

Natural Gas - Pipeline Survey

The Natural Gas Pipeline Survey mobile app was designed specifically for the natural gas industry. Instead of using paper ...

App Name

VA Dem House Race - Political Canvass...

This VA Dem House Race Political Canvassing Form was developed to be an electronic form of a survey sent out by the Virgin...

App Name

Road Construction and Equipment Tracking

The Road Construction and Equipment Tracking mobile app for construction managers and road crews tracks employee time shee...

App Name

Apparel Retail Form

This handy apparel retail form mobile app was built for a mobile retail sales associate or sales assistant. Great for depa...

More Information


Recent Blog Posts