MetLife Statement of Health Form

Form Template

MetLife life insurance representatives will want to use the MetLife Statement of Health Form Mobile App to keep all their insurance policy information right at their fingertips.

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Download the app to your iPhone, iPad, or any tablet or Android device to collect medical information for potential life insurance clients.

Designed specifically for MetLife, the form features sections for basic customer information including: pre-existing medical conditions or condition diagnosis, number of children, spouse, and other key medical information about the proposed insured. Any notes and required signatures for the plan can all be captured digitally, directly into the app.

As an insurance company representative, use this app to determine life insurance coverage and benefits through means of an enrollment form and potential claim form for each person and policy owner. It can also be used to collect information pertinent to long-term care enrollment and long-term disability as part of a strong life insurance policy while adhering to online privacy policy.

Save this confidential insurance report safely and securely to MetLife's GoCanvas Cloud for easy access as needed in the case of any change in the insured's status such as birth of a child or marriage. Generate a PDF to email the report to the company's HR manager, the local MetLife life insurance representative or other appropriate parties.

  • Signature Capture
  • Submission Editing
  • Reference Data
  • Dispatch
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  • iPhone
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  • Windows
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