System Generated Panel 

 Author Input Panel

Author Input Panel - Required fields

File Upload Messages Configuration

Form Title  Panel

Request a callback from a Recovery Specialist

User Input Panel

All fields are required

Let us know how you are eligible to access the service by entering the name of the Employer, Superannuation Fund or MetLife Protect policy number of the MetLife customer:

Thank You/Error Panel Configuration

Settings for same page thank you/error message

Error message

We’re sorry, but MetLife Australia cannot process this request due to a temporary technical error.

Please refresh the page or you can try again shortly.

Thank you for requesting a 360Health call back.

Access to a Recovery Specialist can take up to 5 business days.

We will attempt to contact you at your chosen time to understand your goals, please allow 20-30minutes for this call.

Settings for separate page thank you/error message

Hidden Panel