Policy Amendment Forms
- Request for Change in Policy Form for Chubb MyLegacy Insurance Plan III
- Request for Change in Policy Form
- Request for Change of Personal Information Form
- Request for Financial Services Form
- Request for Financial Transaction Form (for Investment-Linked Plans)
- Request for Financial Transaction Form (for Golden Touch Universal Life Plan)
- Amendment of Policy
- Amendment of Application
- Request for Conversion Form
- Application Supplement For “The ONE” Accident Protector
- Application Supplement For Critical Illness/Cancer/Hospital/Personal Accident Plan
- Request for Change of Policyowner/Beneficiary Form
- Policy Loan Agreement
- Application/Change/Cancellation For Life Insurance Proceeds Settlement Option
- Request for Change of Insured/Successor Insured Form
- Registration Of Family Members For Embrace Care Critical Illness Protector
- Standardized Underwriting Questionnaire for Chubb VHIS
- Addition of Riders (for Agent only)
Direct Debit Authorization Forms
List of Appointed Service Centres
Declaration Forms
- Supplementary Form of Beneficial Owner/Controlling Person/Successor Owner
- Financial Needs Analysis Form
- Statement of Insurability
- Important Facts Statement and Applicant's Declarations Investment-Linked Assurance Scheme (“ILAS”)Policy - WealthMaster Variable Universal Life (WMVUL)
- Important Facts Statement and Applicant's Declarations Investment-Linked Assurance Scheme (“ILAS”)Policy - WealthLink I Investment Pro-Single Premium (WLPS)
- Important Facts Statement and Applicant's Declarations Investment-Linked Assurance Scheme (“ILAS”)Policy - WealthLink I Investment Pro-Regular Premium (WLPR)
- Important Facts Statement and Applicant's Declarations Investment-Linked Assurance Scheme ('ILAS') Policy- Partner Investment Select Plan (PIS)
- Important Facts Statement and Applicant’s Declarations Investment-Linked Assurance Scheme (“ILAS”) Policy - Infinite – Regular Premium Investment Plan (WLPR2)
- Important Facts Statement and Applicant’s Declarations Investment-Linked Assurance Scheme (“ILAS”)Policy - Ultra – Single Premium Investment Plan (WLPS2)
- Important Facts Statement and Applicant's Declarations Investment-Linked Assurance Scheme ('ILAS') Policy - Ultra+ Single Premium Investment Plan (WLPS3)
- Self-Certification Form – Entity
- Self-Certification Form – Individual
- Self-Certification Form – Controlling Person
Claims and APS Forms
- Authorization Form for eClaim Submission
- Authorization for Critical Illness Case Management
- Cashless Hospitalization Pre-authorization Form
- Claim Form - Accident
- Claim Form - Hospitalization/Surgery
- Claim Form - Death
- Claim Form - Disability
- Claim Form - Lady's Partners
- Claim Form - Living Benefit / Critical Illness Benefit
- Attending Physician's Statement for Death Claim
- Hospital and Surgical / Day-Surgery Claim Pre-Assessment Form
- Attending Physician's Statement for Living Benefit Claim - Coronary Artery Bypass Surgery (Part II)
- Attending Physician's Statement for Living Benefit Claim - Bacterial Meningitis (Part II)
- Attending Physician's Statement for Living Benefit Claim - Renal Failure (Part II)
- Attending Physician's Statement for Disability Claim
- Attending Physician's Statement for Lady's Partner Claim
- Attending Physician's Statement for Critical Illness Benefit Claim - Cancer (Part II)
- Attending Physician's Statement for Living Benefit Claim - Cancer (Part II)
- Attending Physician's Statement for Critical Illness Benefit Claim - Angioplasty (Part II)
- Attending Physician's Statement for Living Benefit Claim - Angioplasty (Part II)
- Attending Physician's Statement for Critical Illness Benefit Claim - Carcinoma-In-Situ (Part II)
- Attending Physician's Statement for Living Benefit Claim - Carcinoma-In-Situ (Part II)
- Attending Physician's Statement for Critical Illness Benefit Claim - Heart Attack (Part II)
- Attending Physician's Statement for Living Benefit Claim - Heart Attack (Part II)
- Attending Physician's Statement for Critical Illness Benefit Claim - Stroke (Part II)
- Attending Physician's Statement for Living Benefit Claim - Stroke (Part II)