Personal Accident Claim

Personal Accident Weekly Benefits / Medical Expenses / TTD / PD

• Claim Form
• Copy of Police Report (if applicable)
• Original Medical report (not required for claims below RM250.00)
• Original Medical Certificates
• Copy of IC (both sides)
• Original receipts/bills
• For Group PA – Copy of salary slips for the past 3 months prior to accident
• TTP and PD – Specialists’ Medical report
• For Motor accidents – driving license
• E-payment Form

Personal Accident Fatal/Death Claims

• Claim Form
• Copy of Police Report
• Copy of Post Mortem Report
• Copy of Death Certificate
• Copy of burial/cremation certificate
• Copy of identity card of the beneficiary if it is an individual or copy of the business registration certificate if it is a company
• Copy of Letters of Administration if nomination not done
• E-payment Form