Combined insurance claim forms printable 2026

1. Click ‘Get Form’ to open the combined insurance claim form in the editor.
2. Begin by filling out Section 1, ensuring you print using BLOCK LETTERS. Enter your Account Number, Full Name, and Postal Address accurately.
3. Provide your Employer's Name, Occupation, Date of Birth, Height, Weight, and Contact Number. If claiming under a Family Policy, indicate 'Yes' or 'No'.
4. For accident claims, specify the date and time of the accident and describe how it occurred. Indicate if emergency ambulance transport was required.
5. For sickness claims, detail the nature of your sickness and when symptoms first appeared. Include any previous occurrences of the same condition.
6. Complete hospitalization details if applicable. Provide dates for inpatient treatment and any relevant medical practitioner information.
7. Review all entries for accuracy before signing the declaration at the end of Section 1.

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