Aviva claim form 2026

1. Click ‘Get Form’ to open the Aviva claim form in the editor.
2. Begin with Section I, where you will enter your Policy/Card Number, Commencement of Employment date, and Market Unit/Department. Ensure that all personal details such as your Daytime Contact Number and Name of Patient are accurately filled out.
3. Provide the NRIC/BC/FIN numbers for both the patient and employee. Indicate the relationship of the patient to the employee and complete the Date of Birth fields.
4. If there have been recent changes to your bank account, include your Bank Account Number along with the Name of Bank and Branch Code. Don’t forget to sign in the designated area.
5. In Section II, this part must be completed by your dentist. They will fill in details regarding the Date of Treatment, Type of Treatment, and Amount Incurred for each procedure performed.
6. Once all sections are completed, review for accuracy before saving or exporting your document for submission.

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