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DOWNLOADABLE FORMS

Now you can download the form that you need, anytime, anywhere! Just select the form you will use.
form name description
Absolute Deed of Assignment of Life Insurance Policy

This form is used for transferring rights/ownership of the policy. Please make sure that the form is notarized before submission.

Acknowledgement & Undertaking

This form is to be filled-up and signed by one of the claimants or the authorized representative receiving in behalf of the beneficiary.

Affidavit of Guardianship

This form is required when there are minor beneficiaries to show real guardian.

Amendment Form

This form is used for changing/updating the following information: Insured/Owner, Beneficiary, Address, Plan, Mode of Payment, Issue/Effective Date, Premium Default, Non-Forfeiture Option, Rider, Age/Birthday, Sum Insured.

Application for Cash Surrender and Certificate of Release

This form is used for surrendering the policy.

APPLICATION FOR VARIABLE LIFE TRANSACTIONS (TOP-UP)

This form is used for Top-Up Premium with VL Health Statement.

Application Form for Variable Life Insurance Transactions

This form is used for Change of Fund Allocation Instruction, Fund Switching and Withdrawal.

Assignment of Life Insurance Policy as Collateral

This form is used for assigning the Policy as collateral. Please make sure that the form is notarized before submission.

Attending Physician's Statement (APS)

This form is to be filled-up and signed by the attending pysician. A claim requirement for a contestable claim & other living benefits.

Attending Physician's Statement of Disability

This form is required when filing for disability claim to be filled-up & signed by the attending physician.

Auto-Debit Arrangement Enrollment Form

This form is used for automatic debit of premiums from your bank account every due date.

Branch Directory

No Description

Certificate of Release Form

The form is used for claiming the maturity benefit.

Claimant Statement (CS)

This form is to be filled-up by the claimants bearing their signatures & other info at the time of claim of insurance benefits. (Individual & Group claims).

Claimant's Statement with Affidavit of Heirship - COCONUT FARMERS GROUP LIFE INSURANCE  (TAGALOG VERSION)

This form is required for farmers claims and will serve as our basis in the payment of claim in case there are no designated beneficiaries.

Claimants' Statement with Affidavit of Heirship - COCONUT FARMERS GROUP LIFE INSURANCE (ENGLISH VERSION)

This form is required for farmers claims and will serve as our basis in the payment of claim in case there are no designated beneficiaries.

Colors of Life 2017 Branch Directory

No description

Colors of Life 2017 Entry Form - 18 and ABOVE

No Description

Colors of Life 2017 Entry Form - BELOW 18

No Description

Colors of Life 2017 Poster (Mechanics)

No Description

Colors of Life 2017 Proof of Entry

No Description

Colors of Life DepEd Memo

No Description

CVL Notice of Cancellation

This form is used for the cancellation of Variable Life coverage

Designation of Trustee

This form is used for designation of a trustee. 

Dividend Withdrawal Form

This form is used when withdrawing the dividend.

FBR and PDF Withdrawal Form

This form is used when withdrawing the Fund Builder Rider (FBR) and Premium Deposit  Fund (PDF) of the policy.

Foreclosed Properties

Available properties for sale

Health Statement

This form is a basic requirement for Reinstatement. Please make sure that all questions are answered.

iGrab Personal Accident (AD&D BB MER)

No Description

iGrab Personal Accident (ADB - bundled with travel deals)

No Description

Insured's Statement of Disability

This form is required to be filled-up and signed by the insured when filing disability benefits.

Medical Questionnaire

This form is required when claiming for continuation of disability benefit & to be signed by the attending physician check-up from the recent check-up.

PERSONAL DATA CORRECTION AND ERASURE FORM

This form is an additional requirement as compliance to Data Privacy Act of 2012.

Policy Loan Agreement

This form is used for applying a policy loan.

Proofs of Hospitalization

This form is required when filing for hospitalization benefit.

Specimen Signature

This form is used for updating the Signature of the Insured or Payor.

Terminal Illness Physician's Statement

This form is required when claiming for TILB benefit to be signed the attending physician.

Undertaking For Lost Policy

This form is a requirement for Lost Policy. Please make sure that it must be NOTARIZED.

Visa & Mastercard Recurring Payment Enrollment Form

This form is used for automatic debit of premiums from your credit card every due date.

Waiver of Rights to Claim Tagalog Version

This form is required when the claimant decide to give his/ her her rights to the proceeds in favor of somebody.

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