I50 Insurance claim form - Income 2026

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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 important notices regarding the acceptance of the form, requirements for supporting documents, and deadlines for submission. The form collects personal details of the policyholder and insured, details about the injury or disease, and necessary supporting documents for various types of claims such as death, permanent disability, and medical expenses. Additionally, it contains a Personal Data Use Statement and a declaration section for consent to data collection and processing.

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Click ‘Get Form’ to open the i50 Insurance claim form - Income in the editor.
Begin by filling in your personal details as the policyholder. Include your name, NRIC/FIN number, date of birth, occupation, nationality, and contact information. Ensure all fields are completed; if not applicable, write 'none' or 'NA'.
Next, provide the personal details of the insured individual. This includes their name, relationship to you, and relevant identification numbers.
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.
Complete any additional sections regarding other insurance coverage and supporting documents needed for your claim.
Finally, review all entries for accuracy before signing and dating the declaration at the end of the form.

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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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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How to record insurance proceeds on an income statement?

A gain from insurance proceeds should be recorded in a separate account if the amount is material, thereby clearly labeling the gain as being non-operational in nature.

What does income protection not cover?

This policy does not include unemployment cover so will not pay out if you become unemployed and it is not a savings or investment plan and has no cash value unless a valid claim is made.

What details are needed for an insurance claim?

To make a claim, get a form from your insurer or write to the other driver or their insurer, giving details of the accident and the other drivers policy number. Tell your insurer about any independent witnesses and send them witness statements if you can.

How long after taking out income protection can I claim?

You cant claim income protection payments straightaway if you fall ill or become disabled. You usually have to wait a minimum of four weeks but payments can start up to two years after you stop work.

What is the maximum income protection payout?

Most Income Protection policy providers will allow you to cover up to 70% of your gross (pre-tax) income. Also called the sum assured, the higher this payout percentage, the higher your premiums.

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How to make an income protection claim?

Log in to your account online, go to Insurance, then Manage insurance, and select Make a claim. In the app, go to Insurance and select Make a claim. 2. Tele-lodgement: Call us on 1300 667 387 from 8.30am to 5pm AEST/AEDT weekdays and ask the claims consultant to lodge a claim on your behalf.

How do I claim my income protection?

Generally, there are four steps to making a claim for income protection insurance, which are: Speak with experienced income protection lawyers to learn the claim requirements. Gather the necessary supporting documents. Complete the claim form accurately. Lodge your claim promptly.

What are the two types of claim forms?

Types of claim forms include health insurance claim forms, auto insurance claim forms, and property insurance claim forms.

I50 Insurance claim form - Income 2026

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