Claiming of Memorial Service

Please prepare the following requirements to be submitted

Requirements:

For Deceased Planholder

1. Original Copy of Life Plan Contract (LPAF, Plan Specifications, General Provisions)

2. Certificate of Full Payment (fully paid or spotcash account)

3. Valid ID of Planholder

4. CTC Death Certificate

5. Signed Memorial Service Contract (Golden Future Form)

6. CTC Burial Permit (To be given to the mortuary partner)

7. CTC Cremation permit (for cremation plan, To be given to the mortuary partner)

Requirements for Assigned Plans

1. Original Copy of Life Plan Contract (LPAF, Plan Specifications, General Provisions)

2. Certificate of Full Payment (fully paid or spotcash account)

3. Valid ID of Planholder (Assignor)

4. Valid ID of Deceased (Assignee)

5. CTC Death Certificate of Deceased Assignee

6. Signed Memorial Service Contract (Golden Future Form)

7. CTC Burial Permit

8. CTC Cremation Permit (for cremation plans)

Additional Requirement (if necessary)

1. NBI Report

2. Autopsy Report

For your Policy Number you may contact us at 09190782974 or email us [email protected]

Life Plan Contract No. *

Plan Type *

Memorial Service for *

Last Name *

First Name *

Middle Name

Suffix

Email *

Gender *

Civil Status *

Date of Birth *

Date of Death *

Cause of Death *

Retrieval Address *

Conforme

I hereby agree to the terms and conditions and consent to the collection, use and disclosure of all personal information I have provided hereunder for the purpose of Golden Future Life Plans services rendered and all other documents related hereto.

Informant Signature: