Get the free Personal Accident or Sickness Scheme (Individual or Group) Claim Form Please print o...

Personal Accident or Sickness Scheme (Individual or Group) Claim Form Please print out for signatures and post original to your broker if applicable or direct to AIG, PO Box 1745, Shorthand Auckland,

How to fill out personal accident or sickness

How to fill out personal accident or sickness:

Start by gathering all the necessary information:

1. Personal details: Name, address, contact information, etc.
2. Employment details: Job title, employer's name, etc.
3. Medical history: Any pre-existing conditions.

Identify the type of form you need to fill out:

1. Personal accident claim form: Used when you have been injured due to an accident.
2. Sickness claim form: Used when you are unable to work due to illness or medical condition.

Fill in the personal details section:

1. Provide your full name, address, and contact details.
2. Include any identification numbers or policy numbers if required.

Explain the nature of the accident or sickness:

1. Describe the incident or illness in detail.
2. Include the date, time, and location of the accident if applicable.

Provide details of medical treatment:

1. Include the name of the treating physician or medical facility.
2. Specify the dates of treatment and any medications prescribed.

Include any supporting documents:

1. Attach relevant medical reports, bills, receipts, or any other documents requested.
2. Make sure to keep copies for your own records.

Review and sign the form:

1. Read through the form carefully to ensure accuracy.
2. Date and sign the form to validate the information provided.

Who needs personal accident or sickness?

Individuals working in high-risk professions:

1. Construction workers, firefighters, police officers, etc.
2. Those exposed to potential accidents or injuries in their line of work.

Self-employed individuals:

1. Freelancers, consultants, entrepreneurs, etc.
2. Those who don't have access to sick leaves or employer-provided benefits.

Individuals with pre-existing health conditions:

1. People with chronic illnesses or medical conditions.
2. Those who may require financial coverage in case of accidents or exacerbation of their conditions.

Remember, it is always crucial to consult with an insurance professional or your insurance provider to understand the specific coverage, requirements, and steps involved in filling out a personal accident or sickness form.

For pdfFiller’s FAQs

What is personal accident or sickness?

Personal accident or sickness insurance provides coverage for individuals who are injured or become sick while participating in a covered activity.

Who is required to file personal accident or sickness?

The policyholder or the insured individual is required to file a claim for personal accident or sickness.

How to fill out personal accident or sickness?

To fill out a personal accident or sickness claim form, provide all necessary information such as personal details, description of the accident or sickness, medical records, and any other relevant documentation.

What is the purpose of personal accident or sickness?

The purpose of personal accident or sickness insurance is to provide financial protection to individuals in case of accidental injury or sickness that prevents them from working or requires medical treatment.

What information must be reported on personal accident or sickness?

Information that must be reported on a personal accident or sickness claim includes personal details, description of the accident or sickness, medical records, and any other relevant documentation.

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