Get the free Personal Accident Claim Form - etiqa.com.my
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Personal Accident Claim Form Important Notice: The participant/policyholder/claimant must give complete and accurate information. For your easy accessibility, this claim form is made available at
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How to fill out personal accident claim form
How to fill out personal accident claim form
01
Start by obtaining a personal accident claim form from your insurance company. This form is usually available on their website or can be requested by phone or email.
02
Read the instructions and make sure you understand what information is required to fill out the form.
03
Fill out your personal details such as your name, address, contact number, and policy number. Make sure to provide accurate and up-to-date information.
04
Provide details about the accident, including the date and time, location, and a brief description of what happened.
05
If there were any witnesses to the accident, provide their contact information.
06
Describe the injuries sustained in the accident and provide any supporting medical documentation, such as doctor's reports or hospital records.
07
If you missed work or incurred any other expenses as a result of the accident, include this information along with any relevant receipts or invoices.
08
Review the form for accuracy and completeness before submitting it to your insurance company.
09
Keep a copy of the filled-out form and any supporting documents for your records.
10
Follow up with your insurance company to ensure that your claim is being processed and to provide any additional information they may require.
Who needs personal accident claim form?
01
Anyone who has experienced a personal accident and is covered under an insurance policy that includes personal accident benefits may need to fill out a personal accident claim form.
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