Life Insurance Claim Forms

Individual Claimant’s Statement

Hospitalisation and Surgical Claim

Outpatient Treatment Claim

Accident Claim

Death Claim

Corporate Claimant’s Statement

Group Outpatient Claim

Group Critical Illness Claim

Group Death Claim

E-Payment Authorisation Form

E-Payment Authorization Form (BM)

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