Insurance Verification Form Template for Philippines

The Insurance Verification Form is a crucial document used in the Philippine insurance industry to authenticate and confirm insurance coverage details. This form becomes necessary when stakeholders need to verify the existence, status, and details of insurance policies for various purposes such as loan applications, contractual requirements, or regulatory compliance. The document is structured to comply with the Insurance Code of the Philippines and related regulations, incorporating essential elements such as policyholder identification, policy details, and authorization protocols. It serves as a standardized means of requesting insurance verification while ensuring data privacy and security in accordance with Philippine law. The form is particularly important in scenarios requiring proof of insurance, claims processing, or third-party verification requests.

1. Form Identification: Form number, date, and type of insurance verification being requested

2. Policyholder Information: Basic details of the policyholder including full name, address, contact information, and government-issued ID details

3. Insurance Policy Details: Policy number, type of insurance, coverage period, and sum insured

4. Purpose of Verification: Stated reason for requesting insurance verification

5. Declaration of Authority: Statement confirming the requester's authority to seek verification

6. Verification Method: Preferred method for receiving verification (email, mail, personal pickup)

7. Data Privacy Notice: Statement on how the provided information will be used and protected as per Data Privacy Act

8. Certification: Declaration of truth and accuracy of provided information