Metlife Statement Of Health - Fill Online, Printable, Fillable 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling in the Group Customer Information and Insurance Information at the top of the form. Ensure all details are accurate.
3. As the Proposed Insured, enter your name and Social Security number in the designated fields. This information is crucial for processing your application.
4. Complete the Employee Information section with your relationship to the employee and contact details, including phone numbers and email address.
5. In the Health Information section, answer all questions thoroughly. If you answer 'yes' to any health-related questions, provide detailed explanations in Section 2.
6. Fill out Personal Physician and Prescription Information accurately. This may include names, addresses, and reasons for visits.
7. Review all sections for completeness before signing where indicated. Make sure to read any applicable fraud warnings.
8. After completing both forms, save a copy for your records and submit them via FAX, MAIL or EMAIL as instructed.

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