This section provides you with a list of downloadable customer forms for you to fill-out should you have requests or claims against your policy.
Living Claim Forms
Attending Physician Statement for Continuance of Total Disability Certificate of Attending Physician for Hospitalization/ Medical Reimbursement Claimant Statement for Continuance of Total Disability Claimant Statement for Total Disability Claimant Statement for Hospitalization/ Medical Reimbursement Claimant Statement for Critical Illness or Dismemberment Attending Physician Statement for Critical illness/Dismemberment Employer's Statement For Total Disability(For Group Claims Only)
Death Claim Forms
Certificate of Attending Physician for Death Claim Claimant Statement for Death Claim Deceased Information Form Employer's Statement (For Group Claims Only) Affidavit of One and the Same Person Joint Affidavit of One and the Same Person
Customer Request Forms
Cash Surrender Request FormCredit to Account Instruction Form Document Completion Slipe-Notice Enrollment SlipHealth Statement Form Investment Change Request Form Life Insurance Trust DeedPolicy Assignment Form Policy Detail Amendment FormPolicy Fund Withdrawal FormPolicy Loan Request Form Request for Extension of Grace PeriodRequest for Replacement of Lost Policy Special Instruction and Customer Feedback SlipTransfer of Ownership Form W-9 Form (Request for Taxpayer Identification Number and Certification) W-8 BEN Form (Certificate of Foreign Status of Beneficial Owner for United Stated Tax Withholding) Waiver of Reporting Information to the Internal Revenue Services (IRS) Department of the U.S. FATCA Policyowner's Consent and Waiver Form
Auto-Pay Enrollment Forms
Contact a Philam Life Financial Advisor
Contact us at (02) 528-2000 or
email us at email@example.com.