Downloads

Download your choice of Forms here.

Please note that all our forms are in PDF format.

You will need Adobe Acrobat Reader to open them. Download Acrobat Reader for free here.

Agency Forms

Additional Cardholder Corporate Nominee Form

Individual Application Form (submit with Request Form)

Corporate Application Form (submit with Request Form)

Declaration Form

Application Forms

Commercial Vehicle

Business Owners Super Suite – Education Proposal Form

Business Owners Super Suite – Office Proposal Form

Work Injury Compensation Declaration form for Single Entity

Work Injury Compensation Declaration form for Multiple Entity

Work Injury Compensation – Additional Information Form

ePROTECT safety

Business Owners Super Suite – Pub & Restaurant Proposal Form

Business Owners Super Suite – Retail Proposal Form

Business Owners Super Suite – Light Industries Proposal Form

ePROTECT travel

Business Owners Super Suite – Personal Services Proposal Form

SME Cyber Proposal Form

Brochures

Medical Questionnaires

Asthma Questionnaire

Diabetes Questionnaire

Gynaecological Disorders Questionnaire

Hypertension Questionnaire

Back Pain Questionnaire

Gastro-Intestinal Disorders Questionnaire

Hepatitis Questionnaire

Thyroid Disorders Questionnaire

Breast Diseases Questionnaire

General Health Questionnaire

High Cholesterol Questionnaire

Tumour Cyst Lump Growth Questionnaire

Nomination Forms

Form 1: Trust Nomination

Form 4: Revocable Nomination

Form 2: Revocation of Trust Nomination

Form 5: Revocation of Revocable Nomination

Form 3: Appointment, or Revocation of Appointment, of Trustee of Policy Moneys

Form 6. Notice of Revocation of Revocable Nomination

Policy Wordings

Others

Policy Alteration Request Form

Personal Details Change Request Form

InterBank GIRO Form (General Insurance)

Health Declaration Form

Policy Benefit Withdrawal Form

Business Reply Envelope

Change of Signature Form

Surrender/Partial Withdrawal Form

Policy Loan Form

InterBank GIRO Form (Life Insurance)

SGD Credit Card Authorization Form (Life Insurance)

USD Credit Card Authorization Form (Life Insurance)

Please go to our current website for the Marketing Consent Form

Please go to our current website for the Marketing Withdrawal Form

Click here to submit your claims.

Claims can be reimbursed via direct credit to your bank account. If you have not chosen this option or you have been informed of failure, please fill in the attached form to submit your request or new bank account information.

Standalone Direct Credit Form

Authorisation Form

Gift Authorisation Form

Application Forms

Application Form for Full Med Underwriting (Feb 2021)

Application Form for GIO (Feb 2021)

NFTF Application

COVID-19 Questionnaire (For Non-GIO & SIO Plans Only)

ETIQA NFTF Supplementary Form (Apr 2020)

Other Forms – New Applications

COVID-19 Questionnaire (For Non-GIO & SIO Plans Only)

Financial Questionnaire

Foreigner Questionnaire

Other Forms – Policy Servicing Matters

Absolute Assignment Form

InterBank GIRO Form (Life Insurance)

SGD Credit Card Authorization Form (Life Insurance)

Policy Alteration Form

Surrender/Partial Withdrawal Form

Revocable Nomination Form