Forms Library

Dear customer, in line with our commitment to always provide you the best service, please note that we are not issuing payments via cheque. To ensure that we offer the prompt service you expect of us, please submit your bank details along with your payout request.

Individual Claim Forms

These forms are required for:

Submitting a Claim. Not sure which form to use? Click here to learn on how to make a claim

Where should I send the completed form(s)?

Copies can be emailed to LifeClaims@metlife.com

Originals to be sent by mail to:

Claims Department MetLife, Ubora Office Tower, Business Bay, PO Box 371916, Dubai, UAE

Note: Original documents are required to process any claim.

Download Forms:

Accident Benefits - Employer's Statement (English) / (Arabic)

Baggage Delays / Baggage Loss Claim Form

Beneficiary Endorsement

Final Proof of loss

Flight Delays Claim Form

Partial Disability / Accidental Dismemberment Claim Report – Physician & Claimant Statement Form - Form CL-20 (English) / (Arabic)

In Patient Medical Reimbursement Claim Form (English)  /(Arabic)

Permanent Total Disability – Claimant Statement - Form 321 (English) / (Arabic)

Permanent Total Disability – Physician’s Statement - Form 322 (English) / (Arabic)

Proof of Death – Claimant Statement - Form CL-39 (English) / (Arabic)

Proof of Death – Physician’s Statement - Form CL-40 - (English) / (Arabic)

Dear customer, in line with our commitment to always provide you the best service, please note that we are not issuing payments via cheque. To ensure that we offer the prompt service you expect of us, please submit your bank details along with your pay-out request.  As we continuously strive to improve our services, please be informed that you will receive an SMS after the processing of all payment related requests. As such, please may you ensure that your contact information is always up to date.

These forms are required for:

• Changing address
• Amending existing policy(ies)
• Taking advantage of some of your policy features (loan, partial surrender, etc...)

Where should I send the completed form(s)?

By email: https://www.metlife.ae/who-we-are/contact-us/policyholders/

By mail to: Customer Care MetLife, PO Box 371916, Dubai, UAE

Download Forms:

        Change of Address Form

        Declaration & Undertaking regarding a Lost Policy Form

        Policy Loan Request Form 

        Policy Full Maturity and Release Form

        Policy Partial Maturity and Release Form

        Policy Partial Surrender and Release Form

        Policy Full Surrender

        Request for addition of Recovery Benefit Plan Rider

        Request for Policy Change - Life (Change of Name, Beneficiary, Method of premium payment) 

        Request for Policy Change - Personal Accident (Change of Name, Beneficiary, Method of premium payment)

        Specimen of Signature

        Health Certification

        W-8BEN_E Entities

        W-8BEN_A Entities

        W-8BEN_E Individuals

        W-8BEN_A Individuals

        W-9

        Authority & Indemnity

        Telegraphic Transfer      

        Transfer between sub account          

        Beneficiary Endorsement

This form is required for:

Delivery of your medications to your doorstep thanks to Aster Pharmacy

Where should I send the form & prescription(s)?

By email to Aster Pharmacy at metlife@asterpharmacy.com or by fax to +971 4 267 2946

Download form:

Home Delivery Order Form

Circulars

The following documents are for your information and reference only:

HAAD Requirements Form for Group Medical Policies (designed by MetLife): This document provides you with all the information you may need to update the records for all your existing employees / dependents as well as any future employees / dependents.

Note: If you have any undeclared members who should be enrolled under a HAAD compliant scheme, kindly provide the required documentation as explained in the above document and send it to your respective insurance consultant’s email address.

HAAD Circular no. CEO/254/11: Document explaining the process related to Dependent Violation

HAAD Circular no. 32 (English) / (Arabic): Document providing details about theCertificate of Continuity of Health Insurance Scheme Coverage

HAAD Circular no. 35 (English) / (Arabic): Document providing details for the Issuance and Renewal of the Health Insurance Card

HAAD Circular no.41: Document providing details for the Issuance of the Health Insurance Card to newcomers

HAAD Circular no.DG48-14: Circular confirming that linking Emirates ID cards to the Pesonal Registration Database in "KEH" is now mandatory

Forms

The Forms, when completed, should be sent to your Insurance Consultant's e-mail address.

Declaration Form (to be signed, dated and stamped by your company): A mandatory form to be completed upon renewal for existing policies and on inception for new policy or new subgroup.

Undertaking Letter (to be printed on your company's letterhead): A document requested by HAAD to be completed by the employer or the sponsor for each "newcomer".

Dependent Violation Appeal Form: A HAAD document to be completed when appealing for a dependent violation

Updated Electronic Data Interchange (EDI): To be completed when amending any detail on the policy such as addition/deletion of an employee or dependent, salary update, etc...

CRS Individual 

CRS Controlling Person

CRS Entity

FAQs about CRS

Instructions to receive your funds by Wire Transfer (when applicable)

To prevent any delays in receiving your funds by Wire Transfer, please include the following details when confirming your payment instructions:

• Bank Name
• IBAN (Account Number if the country does not use IBAN)

Full name Swift code

Note: include IFSC if requesting the transfer to India.