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For My Family
For My Property & Assets
- All Risks Insurance Personal Effects Proposal Form HO
- Burglary Insurance Proposal Form HO
- CondoPAC Proposal Form HO
- Fidelity Guarantee Proposal Form HO
- Fire Consequential Loss Insurance Proposal Form (ENG)
- Fire Consequential Loss Insurance Proposal Form (BM)
- Fire Insurance Proposal Form (ENG)
- Fire Insurance Proposal Form (BM)
- Houseowner & Householder Insurance Proposal Form (ENG)
- Houseowner & Householder Insurance Proposal Form (BM)
- Plate Glass Insurance Proposal Form
For My Assets
- Boiler and Pressure Vessel Insurance Proposal Form
- Civil Engineering Completed Risks Insurance Proposal Form
- Contractors' Plant and Machinery Insurance (CPM) Proposal Form
- Contractors' All Risks Insurance Proposal Form
- Deterioration of Stock in Cold Storage Insurance Proposal Form
- Electronic Equipment Insurance (EEI) Proposal Form
- Erection All Risks Insurance Proposal Form
- Equipment Insurance Proposal Form
- Golfer's Insurance Brochure and Proposal Form
- Loss of Profits following Machinery Breakdown Insurance Proposal Form
- Machinery Insurance Proposal Form
- Money Insurance Proposal Form
- Storage Tank Proposal Form
For My Employees
- Foreign Workers Compensation Scheme Proposal Form
- Foreign Workers Hospitalisation & Surgical Scheme Proposal Form
- Foreign Workers Insurance Guarantee Proposal Form
- Group Hospitalisation and Surgical Proposal Form (Individual Declaration For Group)
- Group Personal Accident Insurance Proposal Form
- Group Personal Sentinel V3 Proposal Form
- Z-Corporate Travel Brochure & Proposal Form (ENG & BM)
- Z-Travel (Domestic / Inbound) Brochure Proposal Form (ENG)
For My Family
For My Property & Assets
For My Assets
- All Risks Takaful Proposal Form (Personal Effects)
- Boiler and Pressure Vessel Takaful Proposal Form
- Civil Engineering Completed Risks Takaful Proposal Form
- Contractors All Risks Takaful Proposal Form
- Erection All Risks Takaful Proposal Form
- Goods In Transit Takaful Proposal Form
- Machinery Breakdown Takaful Proposal Form
- Marine Cargo Declaration / Application Takaful Form
Group and Individual Life Insurance Claim
You'll need to attach certain documents to complete your submission. For more information, please download:
Accident / Hospitalisation Claim
Medical Insurance Claim
You are required to attach supporting documents to complete your claim submission. Please refer below for the list of required documents.
SERVICES | DESCRIPTION | REQUIREMENTS |
Absolute Assignment |
By filling a written notice satisfactory to the Company, the Policy Owner may assign this Policy. The Company shall not be considered to have knowledge of an assignment unless the original or duplicate thereof is filed with the Company. Once the policy monies, wholly or partly, have been pledged as security or assigned to a person, the claim of the person entitled under the security or assignee shall have priority over the claim of the nominee subject to the rights under the security or the assignment being preserved. The appointed assignee must be an individual (adult) and authorised financial institution / non-financial institution. Permitted relationship for Absolute Assignment Individual:
Corporate:
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Individual
Corporate
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Change in Payment Mode |
Change in payment mode is allowed at the next premium due date. For Standing Instruction, Policy Owner need to advise the bank on any changes in contribution. |
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Change in Fund / Premium Re-direction |
The choices of fund into which the premium is directed can be changed at any time. Processing fee is charged RM 50.00 per transaction by cancelling units (subject to plan). Change will take effect on the next regular premium due date. |
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Change in Regular Premium / Layer Premium |
Change in regular premium is allowed at any time. The change will take effect at next premium due date. The minimum regular premium/layer premium amount is RM 50.00 |
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Change in Regular Top-up (MaxSaver) |
Change in regular top-up is allowed at any time. The change will take effect at next premium due date. The minimum regular top-up amount is RM 10.00 |
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Change of Contact Details |
The Policy Owner may request to change the following details:
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Change of Signature |
In the event of Policy Owner want to replace the signature signed previously to a new signature (either during application or policy inforce), he / she may request to change of signature. |
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Change of Policy Details (Without Premium Adjustment) |
The Policy Owner may request to amend the following details:
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Decrease in Basic and Rider Sum Assured |
Policy Owner may opt to reduce his / her basic or rider Sum Assured at any time. The change will take effect on Next Premium/Insurance Charge due date. |
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Deletion in Rider(s) |
Optional Rider(s) attached to the basic Policy may be deleted at the Next Premium/ Insurance Charge due date. |
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Addition of Rider(s) |
Optional Rider(s) may be attached to the basic Policy which is currently in force, subject to its eligibility and Company’s rules. The change will take effect on Next Premium / Insurance Charge due date. *Addition of rider(s) is subject to Underwriting assessment. |
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Increase in Basic and Rider Sum Assured |
Policy Owner may opt to increase his / her basic or rider Sum Assured at any time. The change will take effect on next Premium / Insurance Charge next due date. *Increase in Sum Assured is subject to Underwriting assessment. |
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Irregular Top-Up (Additional Premium) |
The Policy Owner may one-off top up at Policy inception and any time after Policy is purchased. Any additional premium shall be allocated to the Zurich Life Insurance Funds as stated in the Top-Up Application Form. Top up Premium is subject to Service Fee of 5% and Additional Fee of RM 25.00 per top up transaction applicable to selective plan. |
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Appointment of Nominee & Trustee |
The Policy Owner may nominate his/ her family member(s) or friend(s) to receive his / her policy proceeds. |
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Partial Withdrawal |
Policy Owner is given the flexibility to make partial withdrawals from a portion of the accumulated Investment Account value or accumulated declared dividend prior to policy maturity. i) Investment Linked Plan This benefit is subject to a minimum partial withdrawal amount and maintained a minimum investment balance in the Investment Account. Partial withdrawal fee is chargeable and shall be deducted from the withdrawal amount. Please note that the minimum partial withdrawal amount, minimum investment balance and withdrawal fees may vary depending on the plan. ii) Ordinary Life Plan This benefit is subject to a minimum partial withdrawal amount of RM500 or full withdrawal of the declared dividend amount. |
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Reinstatement |
If a premium in default beyond the grace period and the Policy has not attained cash value, the Policy is said to have lapsed. Policy may be reinstated within six (6) months up to five (5) years from the Lapse date depending on the plan. Note: Subject to Underwriting assessment. |
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SPM Allowance |
For Educational plan that eligible for SPM allowance, Policy Owner to claims the SPM allowance based on the Insured’s SPM examination results (Or its equivalent). The Policy effective date should be prior to the exam date and the policy should be inforced until current date. 3 to 5As – RM 1,000.00 6As and above – RM 2,000.00 The benefits is payable on per life basis. |
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Self-Certification Form of Tax Residency (Individual and Entity) | Individual or Entities who declared Tax status as Foreign Tax Resident. |
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Foreign Account Tax Compliance Act (FATCA) Declaration | Individual or Entities who declared as resident or tax payor of USA. |
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Switching of Units (Transfer of Units) |
Policy Owner may instruct the company to switch all or some of the allocated Units of the Investment Account in a particular Zurich Life Insurance Fund to another Zurich Life Insurance Fund. The election of such switch is subject to fees, charges, and conditions that the Company may impose from time to time. One free switch is available every year. Subsequent switches incur a processing fee of RM 50.00 per switch by cancelling units. Switching fee is waived if policy owner performs switching via MyZurichLife. |
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Update of E-Invoicing Details |
The Policy Owner may request to update the e-invoice related data :
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Declaration of Authorized Person and Beneficial Owner Declaration Form |
Business entities are required to declare the Beneficial Owner, who is a natural person, and the Authorized Person, who is the person that will representing the entity under for the policy. |
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Note: Please walk in to nearest ZLIMB branch or meet your Wealth Planner to obtain Investment-Link Sustainability Worksheet
Premium Payment Forms
- Credit Card Debit Authorisation Form (BM)
- Credit Card Debit Authorisation Form (ENG)
- Declaration Form of Beneficial Owner
- Direct Debit Authorisation Form
- Electronic Fund Transfer (EFT) Instruction Form
- Payor Details Form
- Termination or Reactivation of Auto Debit Service Form
- Zero Interest Payment Application Form
Click here for the Direct Debit Terms & Conditions and the Direct Debit Participating Bank, Abbreviation, Service & Payment Availability.
Request for Policy Surrender Form
Please be reminded that you would lose the benefits under your policy in the event of surrender/termination of a policy, we encourage you to reconsider the risk prior to continuing with surrender. Please visit any of our branches to make an informed decision as we may have an alternate solution for you, or contact our Call Centre at 1-300-888-622 or email to callcentre@zurich.com.my for further advice and assistance.
SERVICES | DESCRIPTION | REQUIREMENTS |
Absolute Assignment |
By filling written notice satisfactory to the Company, the Participant may assign this Certificate. The Company shall not be considered to have knowledge of an assignment unless the original or duplicate thereof is filed with the Company. Once the certificate moneys, wholly or partly, have been pledged as security or assigned to a person, the claim of the person entitled under the security or assignee shall have priority over the claim of the nominee are subject to the rights under the security or the assignment being preserved. The appointed assignee must be an individual (adult) and authorised financial institution / non-financial institution. |
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Change in Contribution Mode |
Change in contribution payment mode is allowed at the next contribution due date. For Standing Instruction, Participant should need to advise the bank on any changes in contribution. |
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Change in Fund / Contribution Re-direction |
The choices of fund into which the contribution are directed can be changed at any time. Processing fee is charged RM 50.00 per transaction by cancelling units (subject to plan). Change will take effect on the next regular contribution due date. |
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Change in Regular Contribution |
Change in regular contribution is allowed at any time. The minimum regular contribution amount is RM 50.00 |
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Change in Regular Top-up (Takaful Saver) |
Change in regular top-up is allowed at any time. The minimum regular top-up amount is RM 10.00 |
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Change of Contact Details |
The Participant may request to change the following details:
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Change of Signature |
In the event of participant unable to sign or remember the signature signed in application form, he / she may request to change of signature. |
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Change of Certificate Details (Without Contribution Adjustment)
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The Certificate Owner may request to amend the following details:
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Decrease in Basic and Rider Sum Covered |
Participant may opt to reduce his / her basic or rider Sum Covered at any time. The change will take effect on next takaful charge next due date. |
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Deletion in Rider(s) |
Optional Rider(s) attached to the basic Certificate may be deleted at the Next Contribution / Takaful Charge due date. However, package riders are not allowed to be deleted on request basis. |
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Duplicate Certificate (loss of original Certificate) |
When a Certificate Contract is lost beyond hope to recovery, or is wholly destroyed, the Participant can apply for a duplicate Certificate. |
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Addition of Rider(s) |
Optional Rider(s) may be attached to the basic Certificate which is currently in force, subject to its eligibility and Company’s rules. *Addition of rider(s) is subject to Underwriting assessment. |
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Increase in Basic and Rider Sum Covered |
Participant may opt to increase his / her basic or rider Sum Covered at any time. The change will take effect on next takaful charge next due date. *Addition of reder(s) is subject to Underwriting assessment. |
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Irregular Top-Up (Additional Contribution) |
The participant may one-off-top up at certificate inception and any time after Certificate is purchased. Any additional contribution shall be allocated to the Zurich Takaful Funds as stated in the Top-Up Application Form. Top up Contribution is subject to Service Fee of 5% and Additional Fee of RM 25.00 per top up transaction applicable to selective plan. |
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Nomination (Hibah) |
Gift of certificate moneys to loved ones made during the Participant’s / Certificate Owner’s lifetime. Giving one’s wealth to others without the expectation of any replacement or exchange with the transferring effect on the ownership during lifetime or executed upon death. It is applicable either to family members (legal heirs) or members who are not entitled to inheritance. Hibah is applicable to adult and juvenile. Hibah is also applicable for both Muslim and Non-Muslim. As for juvenile, Participant must appoint the trustee (adult). |
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Nomination (Wasi) |
A nomination made by Participant to his / her nominee with the intention to appoint him/her as the Executor. The person(s) named can only act as an administrator / executor (Wasi) who will be responsible for distributing the person covered’s monies to the rightful heirs in accordance to the Faraid Law (Distribution Law for Muslim) Page 6 of 8 or Distribution Act 1958; as amended by the Distribution (Amendment) Act 1997 for Non-Muslim. Wasi is applicable to adult or authorised public trustee. |
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Partial Withdrawal |
Participant is given the flexibility to make partial withdrawals from a portion of the accumulated Participant Investment Account (PIA) value prior to certificate maturity. This benefit is subject to a minimum partial withdrawal amount of RM 500.00, and a minimum investment balance of RM 1,000.00 must be maintained in the PIA. Please note that the minimum partial withdrawal amount and minimum investment balance may vary depending on the plan. There is a Partial Withdrawal Fee of RM 50.00 per withdrawal and the fee shall be deducted from the withdrawal amount. |
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Reinstatement |
If a contribution in default beyond the grace period and the Certificate has not attained cash value, the Certificate is said to have lapsed. Certificate may be reinstated within six (6) months up to five (5) years from the Lapse date depending on the plan. Note: Subject to Underwriting assessment. Reinstatement fee is charged RM 50.00 per transaction (subject to plan) |
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SPM Allowance |
For Takafulink Education plan, participant is eligible to claim the SPM allowance for the SPM exam result. The Certificate effective date should be prior to the exam date and the certificate should be inforced until current date. 5As – RM 500.00 8As – RM 1,000.00 |
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Switching of Units (Transfer of Units) |
Participant may instruct the company to switch all or some of the allocated Units of the Investment Account in a particular Zurich Takaful Fund to another Zurich Takaful Fund. The election of such switch is subject to fees, charges and conditions that the Company may impose from time to time. One free switch is available every year. Subsequent switches incur a processing fee of RM 50.00 per switch by cancelling units. |
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Self-Certification Form of Tax Residency (Individual and Entity) |
Individual or Entities who declared Tax status as Foreign Tax Resident. |
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Consent to Marketing & Promotional information |
Participant may give the consent to company to process personal data for marketing purposes. |
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Update of E-Invoicing Details |
The Participant may request to update the e-invoice related data:
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Declaration of Authorized Person and Beneficial Owner Declaration Form |
Business entities are required to declare the Beneficial Owner, who is a natural person, and the Authorized Person, who is the person that will representing the entity under for the policy |
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Contribution Payment Forms
- Credit Card Change Form
- Credit Card Debit Authorisation Form (ENG)
- Credit Card Debit Authorisation Form (BM)
- Contributor Details Form
- Direct Debit Authorisation Form
- E-Payment Registration Form
- Request for Debit Statement
- Zero Installment Plan Application Form
- Termination or Reactivation of Auto Debit Service Form
Group and Individual Family Takaful Claim
Accident / Hospitalisation Claim
Medical Insurance Claim
You are required to attach supporting documents to complete your claim submission. Please refer below for the list of required documents.