Documents required for submission

Mandatory Documents

1.  Claim Form - Other Than Death Claim (to be completed by Claimant)

2. Accident Claim Attending Physician's Statement (to be completed by attending physician)

Supporting Documents (whichever applicable)

1. Receipts & itemized bills (Reimbursement)

2. Medical leaves certificate / Employer's confirmation letter on period of medical leaves (Weekly Indemnity)

3. Police Investigation Report

4. Photograph of dismemberment (Dismemberment)

5. Police Investigation Report

6. Claims settlement letter from SOCSO / PERKESO

7. Claims settlement letter from employer / other insurance company

Important Notes

1. Ensure completion of claim forms and completeness of all document to avoid unnecessary delay.

2. The checklist provides a reference of the point-of-submission requirements only. The company reserves the right to request for other relevant documents and information.

3. Policy Owner can download or print relevant claim form(s) via e-Claims “View Claims Requirements” under e-Claims menu in e-Service.

4. For reimbursement claim, please submit the original receipts together with the e-Claims Receipt Acknowledgement to your servicing agent or our branch nearest to you.