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

Business Owners Super Suite – Education Proposal Form

Business Owners Super Suite – Personal Services Proposal Form

Commercial Vehicle

Work Injury Compensation Declaration form for Multiple Entity

Business Owners Super Suite – Light Industries Proposal Form

Business Owners Super Suite – Pub & Restaurant Proposal Form

ePROTECT safety

SME Cyber Proposal Form

Work Injury Compensation Declaration form for Single Entity

Business Owners Super Suite – Office Proposal Form

Business Owners Super Suite – Retail Proposal Form

ePROTECT travel

Work Injury Compensation – Additional Information Form

Brochures

Medical Questionnaires

Asthma Questionnaire

Covid-19 Questionnaire

General Health Questionnaire

Medical Consent Form

Mental Health Questionnaire

Attending Physician Statement

Diabetes Questionnaire

Gynaecological Disorders Questionnaire

Medical Exam Form

Thyroid Disorders Questionnaire

Autism Questionnaire

Gastro-Intestinal Disorders Questionnaire

Hypertension & High Cholesterol Questionnaire

Medical Exam Form (Juvenile)

Tumour Cyst Lump Growth Questionnaire

Non-Medical Questionnaires

Aviation Questionniare

Financial Questionnaire

Keyman Questionnaire

Deferred Compensation Questionnaire

Foreign Life and Residence Travel Questionnaire

Occupation Questionnaire

Diving Questionnaire

Hazardous Pursuits

Representative’s Background Information

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

Bailee’s Liabililty

Commercial All Risks

Contractor’s Plant Machinery

ePROTECT home pro 20 Sep 2017 onwards

ePROTECT personal mobility

ePROTECT travel

Fidelity Guarantee

Fire Mortgagees’ Interest

Foreign Workers’ Medical (Per Disability)

Homeowners Enhanced Insurance

Machinery Breakdown

Personal Accident with Rider

Project Employer’s Liability

Rider Contract: eXTRA accident cover

Transport Operator Cover

Annual Employer’s Liability

Business Enterprise Solution Package Policy

Commercial Vehicle

Contractors’ All Risks

ePROTECT maid (from 15 March 2018 onwards)

ePROTECT safety

Erection All Risks

Goods In Transit

Industrial All Risks

Management Corporation Errors and Omission

Personal Cyber Insurance

Private Car – Addendum HVV Package

Public Liability

Tiq Home Insurance

Work Injury Compensation Insurance

Business Owners Super Suite Package

Consequential Loss

ePROTECT home

ePROTECT motorcycle

ePROTECT safety (enhanced)

Electronic Equipment

Fire & Home Contents Package (For Maybank Customers)

Foreign Workers’ Medical (Annual)

Machine and Equipment All Risks

Personal Accident

Plate Glass Insurance

Product Liability

Rider Contract: DIRECT-Etiqa CI rider

Standalone Provisions: ePROTECT mortgage

Tiq Home Insurance (from 29 July 2020 onwards)

Others

Absolute Assignment Form

CRS Form A – Individual

HPS Exemption Request Form

Investment-Linked Policy (ILP) Transaction Request Form

Policy Alteration Request Form

SGD Credit Card Authorization Form (Life Insurance)

USD Credit Card Authorization Form (Life Insurance)

Business Reply Envelope

Fund Switch & Single Premium/Recurring Top Up Form

InterBank GIRO Form (General Insurance)

New Business Amendment Form / Additional Disclosure

Policy Benefit Withdrawal Form

Surrender/Partial Withdrawal Form

Change of Signature Form

Health Declaration Form

InterBank GIRO Form (Life Insurance)

Personal Details Change Request Form

Policy Loan Form

Surrender / Withdrawal Form for Investment-Linked Policy (ILP)

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

GIO Application Form (Apr 2022 Editable)

NON GIO Application Form (Apr 2022 Editable)

ILP Application Form

ILP Application Form (Apr 2022 Editable)

Simplified Underwriting Application Form

Simplified Underwriting Application Form (eProtect Mortgage Apr 2022 Editable)

Simplified Underwriting Application Form (Essential Cancer Care Apr 2022 Editable)

NFTF Application

COVID-19 QA 07/22

ETIQA NFTF Supplementary Form (Apr 2020)

Other Forms – New Applications

Attending Physician’s Statement (APS) 07/22

Financial Questionnaire 07/22

Foreign Life and Residence Travel Questionnaire 07/22

Other Forms – Policy Servicing Matters

Absolute Assignment Form 07/22

Surrender & Partial Withdrawal Form 07/22

Policy Alteration Form 07/22

New Business Amendment Form – Additional Disclosure 07/22

Interbank Giro Form (Life Insurance)

Policy Alteration Form 07/22

CRS Form A 07/22

Nomination of Beneficiary (Form 4) 07/22

SGD Credit Card Authorization Form (Life Insurance)

Back Pain Questionnaire

Breast Diseases Questionnaire

Hepatitis Questionnaire

HDB Basic Fire Insurance

ePROTECT safety

General Provisions Contract: eSAVE assure presto

General Provisions Contract: eSAVE flexi (5pay10) presto

HDB Master Policy (16 August 2014 to 15 August 2019)