FPG Insurance

Submit your claim information online An FPG Insurance claim representative will connect you directly to confirm
your claim details and commence processing your claim. Need help with your claim? Call (+632) 8859 1200, (+632) 8662 8600, (+632) 8771 8550, (+632) 7944 1300 or you can e-mail [email protected]

Claim Information

POLICY NUMBER *

POLICY HOLDER/ ASSURED NAME *

DATE OF LOSS *

ESTIMATED TIME OF LOSS *

PLACE OF LOSS *

BRIEF DESCRIPTION OF THE CIRCUMSTANCES OF LOSS *

CLAIM NOTIFIED BY *

RELATION TO POLICYHOLDER (ASSURED/BROKER OR AGENT/RELATIVE (PLS SPECIFY)) *

Contact Details

NAME OF CONTACT PERSON *

EMAIL *

TELEPHONE *

FAX *

MOBILE *

Important Notes

Upon submission of this form, you will be notified via registered email by our Customer Care Unit acknowledging that your claim notification has been received and shall be forwarded to our Claims Department
Letter of Authorization (LOA) will only be issued upon receipt of CLEAR copy of the required documents.
Required documents (maximum of 10MB only) must be submitted in PDF form to [email protected]

I have read and understood and voluntarily agreed to the collection, use, and disclosure of my personal data in accordance with FPG Privacy Policy.

SAM

Our Customer Care, Claims Service Desk, and Claims Hotline are available Mondays to Fridays from 8:00 AM to 5:00 PM.