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Life Insurance Pre-assessment Form White Label - AIA Australia

Life Insurance Pre-assessment Form White Label - AIA Australia 2026

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The document is a Proposed Medical Exclusion Form for AIA Australia, intended for individuals undergoing underwriting pre-assessment. It outlines the process for applying benefit exclusions related to specific medical conditions, including disorders of the spine and mental health issues. The form requires personal information, acknowledgment of exclusions, and signatures from the insured and policy owners, emphasizing the duty of disclosure regarding any relevant medical history.

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Begin by opening the form in our platform. Click ‘Get Form’ to access the editor.
In the first section, enter the full name of the person to be insured and their date of birth. Ensure all details are accurate.
Locate the AIA Pre-assessment number or Application number field. If known, input this information; if not, you can leave it blank.
Review the benefit exclusions listed. Cross (X) any applicable exclusions that may apply to your policy.
Both the person to be insured and the policy owner (if different) must complete and sign the declaration at the end of the document.
Finally, return this completed document to your adviser for submission to AIA Australia.

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2018	4.8 Satisfied (40 Votes)

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Note: For individual policy or claims related enquiries, please contact our Customer Careline at 1300-88-1899 or email to My.Customer@.com. To receive information regarding promotions and offers from Bhd., General Berhad, PUBLIC Takaful Bhd., Pension and Asset Management Sdn.

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