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

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 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
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
Statement letter of account owner giro BCA
Amandemen Form

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
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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Indonesia
1500 525
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Indonesia
PT FWD Insurance Indonesia ("FWD Insurance") is licensed and supervised by the Financial Services Authority. FWD Insurance is a member or Alternative Dispute Resolution Agencies of Financial Services Sector
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