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General Forms

We make certain transactions easy for you by making transactional forms available online. If you need to make a change on your insurance application or existing policy, or to facilitate continuous billing through credit card, or decided to switch funds for your unit-linked policy, or even file a claim, then such transactional forms are listed below for you to click, print, and accomplish anytime, anywhere.

Application for Reinstatement Download Form (.PDF)
Authorization for Continuous Billing Download Form (.PDF)
Authorization for Premium Deduction Download Form (.PDF)
Auto-Debit Authorization Download Form (.PDF)
Declaration of Good Health Download Form (.PDF)
Deed of Absolute Assignment Download Form (.PDF)
Deed of Collateral Assignment Download Form (.PDF)
Flexi-Fund Withdrawal Download Form (.PDF)
Fund Transfer Agreement Form Download Form (.PDF)
Policy Amendment Form Download Form (.PDF)
Policy Surrender Form Download Form (.PDF)
Policy Loan Application Form Download Form (.PDF)

Click here to download Adobe Reader

Contact Us

At Allianz PNB Life, we are here to help.

Should you have any concerns or complaints, you may reach us at any of the following options:

9th Floor, Allied Bank Center, 6754 Ayala Avenue corner Legaspi Street,
Makati City, Philippines

HOTLINE: 818–4357 (HELP)
TRUNKLINE: 818–5433 (LIFE)
FAX: 818-2701
Domestic Toll Free Number: 1-800-10-818-5433


Email: [email protected]
Service hours: 9:00am to 6:00pm

Copyright 2019 | All Rights Reserved | Allianz PNB Life Insurance Inc.