Forms Library

These forms are required for:

• Pre-approvals from Medical Providers (for medical card holders)  
• Submitting a Medical Claim Reimbursement Request (for medical card holders)
   

Where should I send the completed form(s)?

You can submit them through myMetLife desktop or mobile app.

Once you login, all you need to do is:

• Complete the online claim form
• Upload your supporting documents
• Submit the online form

It's as simple as that!

If you are working offsite and do not have access to the internet, please contact your HR department to submit the documents.

Download Forms:

• Pre-determination Approval Request Form

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.

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-gulf.com/bahrain/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

        Beneficiary Endorsement

        Telegraphic Transfer        

        Transfer between sub account

        Confirmation of resedential address

CRS Form

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.