Life Insurance Claim Forms

Individual Claimant’s Statement
Corporate Claimant’s Statement
E-Payment Authorisation Form
Updating of e-Invoice Details Form
Medical Report
Medical Report for Common Critical Illnesses
Medical Report for Other Critical Illnesses

Individual Claimant’s Statement

Hospitalisation and Surgical Claim

Outpatient Treatment Claim

Accident Claim

Total and Permanent Disability / Critical Illness Claim

Claimant's Statement - Individual Death Claim (IL)

Corporate Claimant’s Statement

Group Hospitalisation and Surgical Claim

Group Outpatient Claim

Group Total and Permanent Disability Claim

Group Critical Illness Claim

Claimant's Statement - Group Death Claim (EB)

E-Payment Authorisation Form

E-Payment Authorization Form (English)

E-Payment Authorization Form (BM)

Updating of e-Invoice Details Form

Individual Updating of e-Invoice Details Form

Group Updating of e-Invoice Details Form

Medical Report

Hospitalisation Claim

Accident Claim

Total and Permanent Disability Claim

Death Claim

Medical Report for Common Critical Illnesses

Heart Related Conditions

Cancer

Kidney Failure

Brain & Spine Related Conditions

Mother Related Conditions

Child Related Conditions

Medical Report for Other Critical Illnesses

AIDS

Blindness

Deafness

End Stage Liver Failure

End Stage Lung Disease

Loss of Independent Existence

Major Burns

Systemic Lupus Erythematosus (SLE) with Lupus Nephritis

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