Follow the steps to complete your claims application form online.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. Start by entering your personal details in the 'Personnel Data' section. Fill in your surname, given name, and middle name accordingly.
3. Provide your complete address, including street number, barangay, town/district, city/province, and postal code.
4. Enter your date of birth in the specified format (MM/DD/YYYY) and place of birth.
5. Fill in your badge number and civil status. Select the appropriate claim type from the options provided, such as retirement pension or terminal leave benefits.
6. List the dependent children, including their names and dates of birth, ensuring you tick the correct column for legitimacy.
7. Fill in the claimant details: name, address, date of birth, and civil status are required for this section.
8. Upload a recent ID picture that meets the specified dimensions and quality requirements.
9. In the checklist of required documents, ensure you have all necessary documents prepared, including BJMP clearance and service record.
10. Complete the direct deposit authorization section accurately, including your Landbank account number.
11. If appointing a representative payee, ensure that authorization is filled and signed appropriately.
12. Review all filled information and made sure it is accurate before saving changes.
13. Finally, save the completed form and choose to download, print, or share the form as needed.

Take action now to complete your benefits application online.