Dai-ichi Life

Online Request Form

Submit your request in a few simple steps.

Complete our form and click “Submit.” Our Policy Service Team will review and process your request promptly

Our E-Form Offers -

Easy & Convenient

Our e-form allows you to submit your request quickly and easily, anytime and from anywhere.

Paperless and Organized

All submissions are managed electronically, helping you stay organized without the need for paperwork.

Instant Email Confirmation

A confirmation email will be sent immediately after submission through psclaim2@daiichilife.com.mm, providing you with a formal record of your request.

Submit Your Online Request - Step by Step

  • Log in using your registered phone number and enter the OTP sent to your mobile device.

  • Select the category and choose the form you wish to submit.

  • Provide the required information, upload the necessary documents, and submit the form.

  • We will send you an email once we have received your submission.

You can update the following self-service options:

  • Policy Channges and Updates

  • Rider (Additional Coverage) Updates

  • Policy Loans & Surrenders

  • Claims & Benefits

  • Travel Declarations

Frequently Asked Questions (FAQ)

I cannot login with my phone number. What should I do?

If you’re experiencing any issues, please don’t hesitate to contact our Customer Service Hotline at +95 9 880 443 003. Our team will be happy to assist you.

I can’t find the form I want to submit on the portal. What should I do?

If you’re experiencing any issues, please don’t hesitate to contact our Customer Service Hotline at +95 9 880 443 003. Our team will be happy to assist you.

I haven’t received the OTP code, What can I do?

Please make sure your phone number is entered correctly. If the issue continues, try again after a few minutes or feel free to contact our Customer Service Hotline at +95 9 880 443 003 for further assistance. Our team will be happy to assist you.

Can agents or financial advisors log in on behalf of policy owners?

Thank you for your understanding. As the customer portal contains confidential information, only policyowners are permitted to log in and submit requests.