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Personal accident/infectious diseases insurance claim form

Personal accident/infectious diseases insurance claim form 2025

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The document is a personal accident/infectious diseases insurance claim form that outlines the process for submitting a claim. It includes sections for personal details of the policyholder and insured, details of the injury or disease, and required supporting documents. The form emphasizes the importance of providing complete information and documentation within 30 days to avoid delays in processing claims. Additionally, it contains a personal data collection statement explaining how personal data will be used and disclosed.

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Click ‘Get Form’ to open the Personal accident/infectious diseases insurance claim form in the editor.
Begin by filling in your personal details as the policyholder. Include your name, sex, NRIC/FIN/passport number, date of birth, address, occupation, and contact information. Ensure all fields are completed; if a field is not applicable, write 'none' or 'NA'.
Next, provide the personal details of the insured individual. This includes their name, sex, NRIC/FIN/passport number, date of birth, occupation, and relationship to you.
In the medical or accident claim details section, specify whether the condition is due to an accident or infectious disease. Provide detailed descriptions as required for each scenario.
Complete any additional sections regarding previous injuries or illnesses and ensure you attach all necessary supporting documents before submission.

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Versions	Form popularity	Fillable & printable
2021	4.9 Satisfied (57 Votes)
2019	4.4 Satisfied (66 Votes)
2019	4.1 Satisfied (38 Votes)

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How do I claim personal accident cover?

To make a claim, inform the insurance company immediately after the accident. Submit the necessary documents such as the police report, medical report, and hospital bills. The insurance company will process the claim and provide the insured amount accordingly.

How to claim personal accident cover?

Accidental Death Claim Document Type: Duly filled and signed Claim form. Original/Attested copy of Death Certificate. Attested copy of Post Mortem Examination report. In Case of Accident- Copy of Medico Level Certificate from hospital. Copy of Photo ID proof of Insured person(Employee/Member ID card)

How do I claim a personal accident claim?

If its a car accident, call the police right away. You can report and have a police abstract done to have an essential document for your personal injury claim, or a car accident in your possession. In the case of an accident at work, report what happened to your employer and ensure its written in the accident book.

What does personal accident and illness insurance cover?

What Is Covered? Insurance that covers you in the event that you are unable to work due to injury or illness. For weekly benefits ongoing medical certificates will be required as proof of injury the cost of obtaining relevant certificates are to be incurred by the insured.

How does personal accident insurance work?

Personal Accident Insurance helps protect you against losses due to accidents. A covered accident is a sudden unforeseeable event that results in injury or death and that occurs while coverage is in force. We will pay the full benefit amount for accidental loss of life occurring within 365 days of a covered accident.

How do I claim insurance for a personal accident?

Claim Requirements Personal Accident Claim Report Form duly accomplished and signed. Attending Physician Statement or Medical Certificate (original or Certified True Copy/CTC) Police Investigation Report and Statement of Witnesses (original or CTC) Birth Certificate (original or CTC) insured/victim.

Is it worth having a personal accident cover?

Do I need personal accident cover? Personal accident cover isnt mandatory, however it can provide peace of mind knowing you and potentially your family are covered in case of serious injury or death. It will usually come at an extra cost to your car insurance premiums.

Personal accident/infectious diseases insurance claim form 2025

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