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 our Claims Service Desk at (+632) 8771 8550 or send an email to [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

For the full list of requirements, you may click on this link.
Upon submission of this form, you will be notified via your registered e-mail address by our Customer Care acknowledging that your claim notification has been received and shall be forwarded to our Claims Service Desk.

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