1. System Generated Field Panel
2. Author Entered Field Panel
3. Form Title Panel
4. End-user Entered Field Panel
5. Thank You and Error Message Panel
6. Hidden Panel

• System Generated Field Panel
• Author Entered Field Panel
• Form Title Panel
• End-user Entered Field Panel
• Thank You and Error Message Panel
• Hidden Panel

System Generated Field Panel 

 Author Entered Field Panel

Author Input Panel - Required fields

*Type of Form Integration siteComponent slider contactCardForm

*Region ASIA APAC EMEA LATAM USA

*Country Bangladesh Australia Hongkong United Kingdom Turkey Kuwait Bahrain Egypt Jordan Greece Oman Lebanon Romania Bulgaria France Poland Portugal Spain UAE Italy Russia Portugal Argentina Columbia Brazil USA

*Type Of Form Contactform Inquiry Grievance

Backend Integration Type

Select the Backend Integration - Email or KANA (US Only) email kana

Form Title  Panel

Contact Us

End-user Entered Field Panel

To locate a specific customer service, claims, sales, or provider contact, please click the Contact Us icon at the top right corner of the home page.   For general MetLife Worldwide Benefits inquiries, please use the form below.

*Fields are required

*First Name

*Last Name

*Email

*Company

*Title

*Comments

SUBMIT

MetLife respects your privacy.

Thank You/Error Panel Configuration

Message Option Same page-fadeout Same page-fixed New page

Option One/Two Configuration

Message Delay

Error.

An error has occurred during form submission , please try again.

Thank you.

We have received your inquiry. Someone will contact you within two business days.

Settings for separate page thank you/error message

Error Page

Thank You Page

Page Target Same Tab New Tab

Hidden Panel