Pacific Cross Health Insurance PCL

We would like to express our utmost appreciation for entrusting our company.

Request form for income tax exemption according to tax law.
You can declare your intention to exercise the income tax exemption right according
to tax law and give consent to the Company to disclose premium information
to the Revenue Department according to the rules
and procedures required by the Revenue Department for the tax year 2018 onwards.

If you do not declare the intention, it shall be deemed that you do not give consent to submit and disclose premium information to the Revenue Department.
You will not be able to use the premium for tax exemption.
This request can be submitted until 28 February 2020.