Guarantee Trust Life Insurance Company
1275 Milwaukee Avenue, Glenview, Illinois 60025
800-323-6907; www.gtlic.com
Electronic Signature, Disclosure and Consent

Agent Onboarding
Application for General Agent and / or Agent Appointment
Electronic Signature, Disclosure and Consent

Please Note: This appointment web application will time out if left idle for more than 20 minutes. If this occurs, please click the link in the email that you received initially.
   I have read the Terms and Conditions for Agent Onboarding, which describes the use of Electronic Records, Disclosures, Notices, and e-mail. I consent to the use of Electronic Records in connection with my application for agent contracting and / or agent appointment with Guarantee Trust Life Insurance Company (“GTL”). I have been able to view this information using a personal computer or other device, which is capable of accessing the Internet. I have an account with an Internet service provider and I am able to send e-mail and receive e-mail with hyperlinks to websites. I am also able to download and review files in Portable Document Format (“PDF”).
   By using GTL’s Agent Onboarding I also consent to the use of Electronic Signatures in connection with my application for general agent contracting and / or agent appointment with GTL in place of written documents and handwritten signatures. I understand that I will be bound by these Terms and Conditions.
 I Consent   Cancel
Terms and Conditions
   Please read these Terms and Conditions for Electronic Signature, Disclosure and Consent carefully. By consenting to apply for General Agent and / or Agent Appointment using Guarantee Trust Life Insurance Company’s (“GTL”) electronic Agent Onboarding process, you agree to be bound by these terms and conditions.
Electronic Delivery of Required Documents, Disclosures and Notices
   You consent to receive the following required documents, disclosures, notices, terms and conditions, and other documents and all changes to the required documents, disclosure notices, etc. electronically:
      Contract / Appointment Application
      Vector One Authorization Form
      Summary of Your Rights Under the Fair Credit Reporting Act
      GTL Automatic Deposit Payment Plan (if applicable)
      Authorization Form for Release of File Copies of Criminal History
      GTL Advertising Policy (if applicable)
      GTL Checklist for Advertising Material (if applicable)
      GTL Advertising Submission Form (if applicable)
      GTL Code of Ethical Market Conduct (if applicable)
      GTL Marketing Guidelines for Life Insurance and Supplemental Health Insurance
      Patriot Act
System Requirements to Access Information
      A personal computer or other device, which is capable of accessing the Internet. Your access to this page verifies that your system / device meets these requirements.
      An Internet web browser which is capable of supporting 128-bit SSL encrypted communications, which requires a minimum web browser version of Microsoft® Internet Explorer version 11.0 (available for downloading at https://support.microsoft.com/en-us/help/17621/internet-explorer-downloads),
Microsoft Edge ,
Google Chrome (available for downloading at https://www.google.com/chrome/ ),
FireFox (available for downloading at https://www.mozilla.org/en-US/firefox/new/)
and your system or device must have 128-bit SSL encryption software. Your access to this page verifies that your browser and encryption software/device meet these requirements.
      You must have software which permits you to receive and access Portable Document Format or “PDF” files, such as Adobe Acrobat Reader® version 8.0 and above. This free software is available for downloading at http://www.adobe.com/products/acrobat/readstep2.html. Your access to this page verifies that your system/device has the necessary software to permit you to receive and access PDF files.
  
System Requirements to Retain Information
   To retain an electronic copy of the required documents, disclosures, notices, terms and conditions, other documents, your system or device must have the ability to download and store PDF files.
  
Electronic Communication
   You consent to provide and maintain a valid designated e-mail address. We reserve the right to validate the email address you provide us.
  
Changes to the Terms and Conditions of Electronic Communication with Agent Onboarding
   At our discretion, we reserve the right to modify the Terms and Conditions stated herein.