• Refund Request Form

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  • Dear Client,

    Please use this digital form to claim a refund payment that you may be eligible for.

    Before proceeding, please save coloured copies, via scan or photo image, of both sides of your Maltese identity card or residence document of each policy owner. For security reasons, uploads of these copies shall be requested towards the end of this form and are required to complete your instruction.

    Any field marked with a (*) must be completed in order to advance to the next page, you also have the option to save your progress and resume at your convenience.

    We encourage you to switch your regular payment method, if any, to Direct Debit, which means that you will allow us to transfer money from your bank account in order to settle any payment due to us, this will avoid a claim to request another refund. With Direct Debit, you shall maintain control since you will receive a notification email one week before money is ever withdrawn from your chosen bank account.

    Thank you for choosing to submit your instruction via our digital form. Should you require any further assistance or wish to set up a Direct Debit, please contact us using the details hereunder.

    Yours sincerely,

    Operations Unit
    Telephone: 25909000
    Email: info@msvlife.com

  • Personal Details

    First Policy Owner
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  • Date of Birth*
     / /

  • Contact Details

    First Policy Owner
  • Is your correspondence address the same as residential address?*
  • Please confirm your preferred communication method

  • We encourage you to consider switching to electronic communication as this will help us contribute towards a more sustainable environment.

  • Is there a second policy owner?*

  • Personal Details

    Second Policy Owner
  • Date of Birth*
     / /

  • Contact Details

    Second Policy Owner
  • Is the second policy owner address the same as the first policy owner?*
  • Is your correspondence address the same as residential address?*
  • Please confirm your preferred communication method

  • We encourage you to consider switching to electronic communication as this will help us contribute towards a more sustainable environment.

  • Payment Details

  • Only a bank account in the name of the "Payer" may be credited with a refund. The “Payer” is the policy owner who was nominated to settle any premium payments due on the policy.

  • Do you wish to receive our payment(s) to a local or foreign bank account?*

  • MAPFRE MSV Life p.l.c. will only credit bank accounts held in the Policy Owner's name

  • A local IBAN is made up of 31 alphanumeric characters, as per the following example:

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  • Declaration

  • a. Authorised to request this refund and acknowledge that the information provided is true and accurate;
    b. Aware that these instruction is subject to verification by MAPFRE MSV Life p.l.c; and
    c. Understand that the refund may take up to five (5) working days to be implemented.

  • Please upload a coloured copy of both sides of your ID card or residence document, in order to complete your instruction.

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  • To complete your request, we kindly ask that you upload a clear and legible copy of your ID card or Residence Document from the front and back.

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  • Date of submission
     / /

  • MAPFRE MSV Life P.L.C. (C-15722) is authorised and regulated by the Malta Financial Services Authority (MFSA) to carry on long term business under the Insurance Business Act.

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