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CLAIMS FORM

Life Claims

ACCIDENT CLAIM FORM ATTENDING PHYSICIAN'S STATEMENT

ACCIDENT CLAIM FORM TO BE COMPLETED BY CERTIFICATE OWNER / CLAIMANT

CONFIDENTIAL MEDICAL CERTIFICATE (CRITICAL ILLNESS)TO BE COMPLETED BY THE MEDICAL ATTENDANT

CONFIDENTIAL MEDICAL CERTIFICATE (CRITICAL ILLNESS) - CANCER

CONFIDENTIAL MEDICAL CERTIFICATE (CRITICAL ILLNESS) - HEART

CONFIDENTIAL MEDICAL CERTIFICATE (CRITICAL ILLNESS) - STROKE

CRITICAL ILLNESS CLAIM FORM - PERSONAL STATEMENT

HOSPITALISATION & SURGICAL CLAIM - CLAIMANT'S STATEMENT

HOSPITALISATION & SURGICAL CLAIM ATTENDING PHYSICIAN'S STATEMENT

IL BEREAVEMENT BENEFIT CLAIM FORM

LETTER OF AUTHORISATION/CONSENT - To Obtain Further Information

TOTAL & PERMANENT DISABILITY CLAIM - DOCTOR'S STATEMENT

TOTAL AND PERMANENT DISABILITY BENEFITS (TPD) CLAIM FORM
(to be completed by the Certificate Owner)


Hospital & Surgical Claims Form

HOSPITALISATION & SURGICAL CLAIM - CLAIMANT'S STATEMENT

HOSPITALISATION & SURGICAL CLAIM ATTENDING PHYSICIAN'S STATEMENT


E-FORMS

ABSOLUTE ASSIGNMENT OF CERTIFICATE (PSF19)

APPLICATION FOR INCLUSION / CONVERSION / ALTERATION OF COVERAGE (PSF02)

DISCHARGE VOUCHER FOR WITHDRAWAL/SURRENDER FOR FOREIGN INVESTMENT-LINKED PLANS (PSF33A)

DISCHARGE VOUCHER FOR WITHDRAWAL/SURRENDER FOR INVESTMENT-LINKED PLANS (PSF33)

EASI-PAY SERVICE FORM (PSF16)

HEALTH WARRANTY (PSF07)

INDEMNITY (PSF28)

INDEMNITY FORM (LOSS OF BANK DRAFT) (PSF32)

INDEMNITY FORM (LOSS OF CHEQUE) (PSF31)


LETTER OF AUTHORISATION (PSF30)

LETTER OF CONSENT (PSF04)

NON-SMOKER'S WARRANTY (PSF05)

REASSIGNMENT OF CERTIFICATE (PSF21)


REQUEST FOR ALTERATIONS (PSF01)

STATUTORY DECLARATION (PSF08)

STATUTORY DECLARATION (PSF09)

TAKAFUL INVESTMENT - LINKED PLANS: Application Form For Amendment (PSF06C)

TAKAFUL INVESTMENT - LINKED PLANS: Application Form for Inclusion/Addition/Alteration Of Takaful (PSF06B)

APPOINTMENT / CHANGE OF NOMINEE(S)