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Click ‘Get Form’ to open the Accidental Death - AIG document in the editor.
Begin with Part A, filling in your personal details such as Policyholder Name, Policy Number, Date of Birth, and contact information. Ensure all fields are completed accurately to avoid delays.
If applicable, complete the section for Spouse/Dependent by providing their name and date of birth. Indicate if they are a full-time student and attach proof if necessary.
For illness claims, describe the condition and provide relevant documentation like pathology reports or itemized bills as specified.
For accident claims, detail the date and circumstances of the accident. Attach initial medical evaluation notes and itemized bills from your healthcare provider.
Have your attending physician complete Part B, including diagnosis details and service reports. Ensure they sign and date this section.
Review all sections for completeness before submitting. Once finalized, send the form along with any required documents to the specified address for processing.
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