Forms

All the forms you need are here

All customers can find their claims and premium payment forms below.

FATCA Form

Beneficiary's form

Living benefit claims form for non-sharia policies

Living benefit claims form for sharia policies

Loss of life claim form for non-sharia policies

Loss of life claim form for sharia policies

Beneficiary additional questionnaire

Attending physician’s statement for renal failure (critical illness)

Attending physician’s statement for hepatitis (critical illness)

Attending physicians statement for any tumours and or cancer critical illness

Attending physician’s statement for heart attack (critical illness)

Attending physician’s statement for stroke (critical illness)

Attending physician’s statement for disability (critical illness)

Attending physicians statement for living benefit claims

Attending physicians statement for loss of life claims

Power of Attorney medical information

Claims

FATCA Form

Beneficiary's form

Living benefit claims form for non-sharia policies

Living benefit claims form for sharia policies

Loss of life claim form for non-sharia policies

Loss of life claim form for sharia policies

Beneficiary additional questionnaire

Attending physician’s statement for renal failure (critical illness)

Attending physician’s statement for hepatitis (critical illness)

Attending physicians statement for any tumours and or cancer critical illness

Attending physician’s statement for heart attack (critical illness)

Attending physician’s statement for stroke (critical illness)

Attending physician’s statement for disability (critical illness)

Attending physicians statement for living benefit claims

Attending physicians statement for loss of life claims

Power of Attorney medical information

For customers that bought their insurance through an FWD Life sales agent or any other FWD Life channel before 1 December 2020 or after 1 December 2020.

Policy recovery (reactivation) form

Withdrawal / cancellation form

Banker's clause form

Policy loan request form

Medical statement form for general insurance plans

Premium payments change form

Financial changes form

Policy changes form for non-financial transactions

Unit-linked transaction form

Policy related services

Policy recovery (reactivation) form

Withdrawal / cancellation form

Banker's clause form

Policy loan request form

Medical statement form for general insurance plans

Premium payments change form

Financial changes form

Policy changes form for non-financial transactions

Unit-linked transaction form

Policy related services for sharia products

Policy recovery (reactivation) form

Withdrawal / cancellation form

Banker's clause form

Zakat payment form

Waqf payment form

Policy loan request form

Medical statement form for sharia products

Regular infaq changes form

Contribution payments change form

Financial changes form

Policy changes form for non-financial transactions

Unit-linked transaction form

Premium payment

Reallocation premium form

Beneficiary Owner Form

Power of attorney for BCA account

Power of attorney for BRI account

Power of attorney for Mandiri account

Power of attorney for credit card auto debet

For customers that bought their insurance through FWD Insurance prior to 1 December 2020, when it was known as PT Commonwealth Life.

Form khusus agency

Form to request a duplicate copy of your policy

Financial changes form (A2) for bank products

Banker's clause form for Commonwealth Bank products

Policy reinstatement form / form to request a duplicate copy of your plan (for plans bought through telemarketing)

Banker's clause form

Banker's clause form for any other bank products

Correction / additions form for policy changes or transactions

Policy changes form (A1) for non-financial transactions

Policy changes form (A1) for non-financial transactions (bank products)

Financial changes form (A2) for Elite Linked products

Financial changes form (A2) for non unit-linked products

Financial changes form (A2) for unit-linked products

Financial changes form (A3)

Policy changes form for plans bought from us via telemarketing

Policy reinstatement form for other products

Power of attorney to provide policy information

Policyholder signature change form

Policy related services

Form khusus agency

Form to request a duplicate copy of your policy

Financial changes form (A2) for bank products

Banker's clause form for Commonwealth Bank products

Policy reinstatement form / form to request a duplicate copy of your plan (for plans bought through telemarketing)

Banker's clause form

Banker's clause form for any other bank products

Correction / additions form for policy changes or transactions

Policy changes form (A1) for non-financial transactions

Policy changes form (A1) for non-financial transactions (bank products)

Financial changes form (A2) for Elite Linked products

Financial changes form (A2) for non unit-linked products

Financial changes form (A2) for unit-linked products

Financial changes form (A3)

Policy changes form for plans bought from us via telemarketing

Policy reinstatement form for other products

Power of attorney to provide policy information

Policyholder signature change form

Premium payment

Power of attorney for insurance benefit payment

Account Auto debet power of attorney removal form

Credit card auto debet power of attorney removal form

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PT FWD Insurance Indonesia ("FWD Insurance") is registered and supervised by the Financial Services Authority.
FWD Insurance is a member or Alternative Dispute Resolution Agencies of Financial Services Sector.