F.I.P. Claim Form

1 - Beneficiary / Policy Holder Information
2 - Deceased Information

Beneficiary / Policy Holder Information

If different from Residential Address
Upload Passport (bio page)
Upload Driver’s Permit/Licence (front)
Upload your National ID (front and back)
Upload your signature

Deceased Information

If different from Residential Address
day/month/year
Upload Passport (bio page)
Upload Driver’s Permit/Licence (front)
Upload your National ID (front and back)
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