Daiichi Life Insurance (Cambodia) PLC.

  • Policy Services

 

After policy issued, customers can request to change personal information or policy information by downloading the ‘Request Form’ below. After completing the form, please submit supporting documents based on your request and send email to ps@dai-ichilife.com.kh or contact directly to your Sales Staff or Individual Insurance Agent.

No Form Remark
1 Policy Surrender Request Download Form
2 Request Form for Changing Customer Information Download Form
3 Request Form for Changing Information of Beneficiary Download Form
4 Request Form for Changing Premium Payment Mode and Method Download Form
5 Request Form for Changing Sum Insured Download Form
6 Request Form for Reinstatement Insurance Policy For Insurance Policy Lapsed below 6 months Download Form
7 Request Form for Reinstatement Insurance Policy For Insurance Policy Lapsed over 6 months Download Form
8 Request Form for Reinstatement of EASYCare Download Form
9 Request Form for Reinstatement of SECURECare/SECURECare Plus Download Form
10 Request Form for Rider Cancellation Download Form
11 Request Form for Advanced Cash Back Download Form
12 Request Form for Maturity Benefit Download Form
13 Request Form for Changing Specimen Download Form
14 Request Form for Adding Rider Download Form
15 Health Declaration for Adding Rider Download Form