Downloads

• Claim form

• Application form

Members wanting to upgrade should also use this form. Please ensure you sign and date the declaration on the back of the form

• Addition of dependant form

Application by an existing subcriber to add dependants. Eligible dependents are:

• wife/husband/partner under 65 years of age
• children under 21 years of age

• Residency declaration form

Membership is only available to Maltese residents. Please sign the form to confirm your residence.

• Declaration for clients who opt to pay monthly or quarterly

If you would like to pay monthly or quarterly, please fill out this form.

• Direct settlement of your claims

All Bupa Malta claims that are valid and covered can now be settled via direct credit to your bank account if you wish.