* Required Field

Section 1 - Personal

* *

Policy number *


Section 2 - Changes to your investment contribution

£ (complete sections 3 & 5)

£ ....

.£ (complete sections 3, 4 & 5) .

I/we wish to withdraw a lump sum from my/our investment .£ .(complete section 5)

I/we wish to stop the regular withdrawals/income until further notice


Section 3 - How do you want your money invested?


Option 1

..I/we wish the money to be invested into the funds I already hold and in the same proportion.

Option 2

..I/we wish the money to be invested and allocated into the following funds:-

% .. %

% .. %

% .. %

% .. %

% . %

Please ensure that the total allocation add up to 100%

Option 3 - use one of our portfolios

I/we wish my money to be invested into the following portfolio:

For the Premier Service (total funds from all contracts £75,000 or more)..........

For the Executive Plus and Executive Services...........


Section 4 - Options on how to invest (lump sums only)


Section 5 - Your preferred method of payment

I/we authorise you to instruct the investment provider to make payment direct into my bank account


Section 6 - Comments

This is also a declaration that you have received no advice from us. Heritage will not provide a Suitability Report or Illustration that would have been provided if you had asked for advice. There will be no charge for this service. However, we do reserve the right to make a charge if the work is more complex or if the frequency of your alterations demands it. We will always inform you of our intention to charge before making any change on your behalf.*

You will receive confirmation of the change from the product provider.

Please type the following numbers into the adjacent boxThis Is CAPTCHA Image


Form Instruction

  1. In section1 enter your name and policy details
  2. In section2 select the radial dial that is most relevant to you
  3. Section 3 is only applicable if you are increasing your pension contribution. Select option 1 if you want the money invested into the same fund(s) you already hold. Select option 2 if you want the money invested into a new fund or mix of funds
  4. Section 4 is only applicable for lump sum payments where you can opt for the money to be invested all at once or phased into the fund(s) over a period of time to help reduce risk
  5. Let us know in section 5 how you would like to pay any additional contribution

Select from our Top 100 fund list

Portfolio Risk Assessment