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CRITICAL ILLNESS CLAIM FORM PART I (To be completed by Insured/Policy owner) Policy No. Name of Insured Identity Document No. Contact Phone No. Insureds Present Occupation/ Job Nature New Claim Further
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How to fill out critical illness claim form

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How to fill out critical illness claim form

01
Begin by reading the instructions on the critical illness claim form carefully to understand the requirements.
02
Gather all necessary documents such as medical reports, diagnosis records, and any relevant test results that support your claim.
03
Fill in the personal information section accurately, providing your full name, contact details, and policy information.
04
Clearly state the type of critical illness you are claiming for and provide a detailed description of your medical condition.
05
Attach all relevant documents as evidence to support your claim, ensuring they are legible and organized.
06
Review the completed form for any errors or missing information before submitting.
07
Submit the filled-out critical illness claim form along with the supporting documents to the designated insurance provider.
08
Keep copies of the form and documents for your records.
09
Follow up with the insurance provider to inquire about the processing of your claim.
10

Who needs critical illness claim form?

01
Anyone who has a critical illness and holds a critical illness insurance policy needs the critical illness claim form. This form is necessary to initiate the claim process and seek financial assistance from the insurance provider.
02
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The critical illness claim form is a document that must be filled out by the policyholder or the insured individual to request a payout from their critical illness insurance policy.
The policyholder or the insured individual is required to file the critical illness claim form.
The critical illness claim form must be filled out completely and accurately, providing all necessary information about the illness and treatment.
The purpose of the critical illness claim form is to request a payout from the insurance company for the diagnosis of a covered critical illness.
The critical illness claim form must include details about the diagnosis, treatment, and medical history related to the critical illness.
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