Doctor’s certificate form based on the illness
Copy of Identity card from the insured and the policy holder
Letter of attorney (if needed)
Medical report for a treatment because of critical illness.
A copy of the results of laboratory / diagnostic.
Copy of doctor’s prescription.
Others information or supported documents as requested from the doctor’s certificate.
To speed up the process - Send the claim form and the doctor’s certificate through email email@example.com earlier.
To Complete the Claim - Send all the physical evidence of the claim form, doctor’s certificate, and others supported documents to:
Individual Claim Department FWD Life, World Trade Center 1, 11th Floor, Jendral Sudirman Street Kav. 29-31 Jakarta 12920
Please submit the completed claim form with required supporting documents to us within 30 days after the time the proof is required.
PT FWD Life Indonesia ("FWD Life") is registerd and supervised by the Financial Services Authority.