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How do I fill this out?
To fill out this form, start by providing your policy details and basic personal information. Then, specify the type of accident or sickness and provide supporting documents as required. Make sure to double-check all entries to avoid delays in claim processing.

How to fill out the MetLife Accident & Sickness Claim Form?
1
Collect your MetLife policy number and personal details.
2
Indicate the type of claim you are filing.
3
Fill in the details of the accident or sickness.
4
Attach all required supporting documents.
5
Review the form for completeness before submission.
Who needs the MetLife Accident & Sickness Claim Form?
1
Individuals with MetLife insurance coverage who have experienced an accident.
2
Policyholders seeking reimbursement for medical expenses due to sickness.
3
Claimants filing for critical illness benefits under their insurance policies.
4
Those needing permanent or partial disability claims assistance.
5
Relatives of insured individuals who are authorized to submit claims on their behalf.
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What are the instructions for submitting this form?
To submit this form, please email a scanned copy along with the required documents to claims@metlife.com.bd. Alternatively, you can fax the completed form to (880-2) 9558682 or mail it to the address listed on the form. Be sure to keep a copy of your submission for your records and follow up if you do not receive confirmation.
What are the important dates for this form in 2024 and 2025?
Please be mindful of any upcoming deadlines for submitting claims and ensure your documents are ready. Make note of 2024 and 2025 year-end dates when policies may require renewal or review. For precise dates, refer to guidance from MetLife or your insurance agent.

What is the purpose of this form?
The purpose of this form is to facilitate the claims process for policyholders who have experienced accidents or health issues. It's designed to collect necessary information to ensure that claims are processed efficiently and accurately. By providing a structured way to submit claims, this form helps maintain clear communication between policyholders and MetLife.

Tell me about this form and its components and fields line-by-line.

- 1. Policy Number(s): The unique identifier for all policies held by the policyholder.
- 2. Policyholder's First Name: The first name of the individual holding the policy.
- 3. Insured's First Name: The first name of the person whose life or health is insured.
- 4. Present Address: The current residential address of the policyholder.
- 5. Mobile/ Phone Number: The contact number for reaching the policyholder.
- 6. Type of Accident/ Sickness: A description of the incident or health issue leading to the claim.
What happens if I fail to submit this form?
If this form is not submitted correctly or is incomplete, there may be delays in processing your claim. Additionally, missing information can lead to denial of claims. Therefore, it is crucial to ensure all sections are filled out thoroughly.
- Missing Documentation: Failure to include required documents can result in claim rejection.
- Incomplete Information: Leaving fields unfilled can lead to processing delays.
- Incorrect Claims Type: Submitting the wrong claim type can result in miscommunication and lost time.
How do I know when to use this form?

- 1. Accident Claims: Used when filing claims for injuries sustained in an accident.
- 2. Sickness Claims: Appropriate for claims related to health issues requiring treatment.
- 3. Disability Claims: For policyholders seeking benefits due to permanent or partial disabilities.
Frequently Asked Questions
What is the purpose of this claim form?
The claim form is used to submit requests for benefits due to accidents or health issues as covered by MetLife policies.
How can I edit this PDF?
You can edit the PDF by opening it in PrintFriendly's editor and using the available tools to modify text and add signatures.
Where do I submit this claim form?
Submit the completed claim form via email, fax, or physical mailing address as indicated on the form.
What documents are required to accompany the form?
You need to attach documents like hospital discharge certificates and diagnostic reports as specified in the form instructions.
Is there a deadline for claim submission?
Yes, claims should be submitted as soon as possible after the event to ensure timely processing.
Can I save my edits directly on PrintFriendly?
Currently, you can edit and download the PDF but cannot save files directly on the site.
What happens after I submit my claim?
Once submitted, your claim will be reviewed, and you will receive notification regarding the approval or additional requirements.
Can I track the status of my claim?
You can contact MetLife customer service to follow up on the status of your claim after submission.
Are there different types of claims I can file?
Yes, you can file for sickness, accidental claims, and critical illness among others.
What should I do if I encounter issues while filling the form?
For assistance, refer to the FAQs or contact customer service for guidance.
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