Get Group Personal Accident Application Form - Philam Life

Filling out the Group Personal Accident Application Form for Philam Life online is a straightforward process. This guide will provide you with clear, step-by-step instructions to complete each section of the form, ensuring a seamless experience.

Follow the steps to successfully complete your application

1. Press the ‘Get Form’ button to access the Group Personal Accident Application Form and open it in your preferred document processor.
2. Begin by selecting the desired plan options by checking the boxes next to your choices. You can choose from plans such as Classic, Junior Classic, or Basic.
3. In the section for optional benefits, specify if you wish to add any of the available options, including Medical Expense Reimbursement, Hospital Income Benefit, Accident Weekly Income, or Special Compassionate Benefit.
4. Indicate your preferred payment mode by selecting one of the annual or semi-annual plans, ensuring alignment with the group structure as stipulated.
5. Fill in the company or group details, including the Name of Company/Group, Business Address, Telephone Number, Fax Number, TIN, SSS/GSIS Number, and Nature of Business.
6. Mention other requirements as needed, and select the Participation Type, which can be either Contributory or Non-Contributory.
7. State the amount paid with this application and include the OR Number/Date if applicable. Ensure all payment is attached as per the instructions.
8. Review the statement regarding the truthfulness of submissions, and ensure that you sign and date the application at the designated space provided.
9. Complete the section for witnesses and authorized representatives, including names, signatures, and personal codes as necessary.
10. Once you have filled in all required sections and verified your entries, save your changes, download the document, or print it for your records.

Start completing your Group Personal Accident Application Form online today to ensure your coverage.