We would like to help you with your claim application. Please fill out the form below and complete all fields marked with (*).

Before submitting your application, please prepare the following documentation for your convenience in the next steps.

1. Registered Death Certificate with seal and issued by the Local Civil Registrar or Philippine Statistics Authority (PSA)

2. Birth Certificate of the Planholder (if claimant/s is/are the Planholder’s parent/s)

3. Photocopy of Valid IDs of Planholder (Government-issued ID’s)

4. Marriage Contract (if claimant is the spouse and or if Planholder’s daughter is already married)

5. Birth Certificate of the BENEFICIARY/IES (if claimants are children of the Planholder)

6. Signed Waiver of Rights (for multiple beneficiaries noted in the Life Plan Contract)

LPA Number:*

Claimant's First Name:*

Claimant's Middle Initial:*

Claimant's Last Name:*

Mobile Number:*

Email Address:*

Date of Death:*

Certificate of Full Payment Number:

Relationship to the Planholder:*

Registered Death Certificate*

Birth Certificate of Planholder*

Photocopy of Valid IDs of Planholder*

Marriage Contract

Birth Certificate of the Beneficiary/ies

Signed Waiver of Rights