Claim Notification

File a Claim with BDO Life

Please fill up the form below to notify us of your claim. A BDO Life Claims Specialist shall be in touch to assist you on the requirements of your claims filing.

Insured Person's Details

____________________________________________________________________________________________

Type of Insurance Product *

Claim Type *

Policy Number/s (if more than one Policy Number, separate with a comma) *

Last Name *

First Name *

Middle Name *

Date of Birth *

Month

Day

Year

Contact Person's Details

____________________________________________________________________________________________

Last Name *

First Name *

Middle Name *

Mobile Number *

Email Address (kindly use your Yahoo or Gmail email account) *

Remarks (kindly provide additional instructions if any):

Agreement *

In compliance with the requirements of the Data Privacy Act, I hereby give my consent to BDO Unibank, Inc. and its subsidiaries (collectively referred to as “BDO Group”) to process, store, disclose or share my personal information or sensitive personal information obtained from me in the course of my transaction/s with BDO. I confirm that I understand and agree that these information may be disclosed or shared within the BDO Group for cross-selling purposes to offer and provide new or related products and services of the BDO Group. Further, I hereby give my consent to any member of the BDO Group to process, collect, use, store, share or disclose my personal information or sensitive personal information among themselves, or to third parties. I confirm that I understand and agree that my information may continue to be processed, collected, used, stored, or disclosed for ten (10) years from my last transaction date with any member of the BDO Group or until the expiration of the retention limits set by applicable laws, whichever comes later. I hereby acknowledge and understand that should I wish to withdraw my consent to receive information about new or related products and services of the BDO Group, or to access, update, or correct certain personal data as set out in this form, I may communicate directly with BDO Life's Data Protection Officer through Data_Protection_Officer@bdolife.com.ph. I further acknowledge and understand that I may access and view BDO Life's Data Privacy Statement at https://www.bdo.com.ph/bdolife/privacy-statement

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Claim Notification

File a Claim with BDO Life

Insured Person's Details

____________________________________________________________________________________________

Contact Person's Details

____________________________________________________________________________________________