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PERSONAL ACCIDENT NOMINATION FORM (FOR TUNE TALK SUBSCRIBERS)Name of Insured Person : Nationality/Religion: ERIC/Passport No: Pursuant to Section 129 and Para 5 of Schedule 9 of Financial Services
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How to fill out personal accident nomination form

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How to fill out personal accident nomination form

01
Step 1: Start by writing your full name in the 'Name' section of the form.
02
Step 2: Provide your contact details including address, phone number, and email address in the respective fields.
03
Step 3: Indicate your relationship with the insured person by selecting the appropriate option from the dropdown menu.
04
Step 4: Fill out the accident details section, providing information about the accident, date, time, and location.
05
Step 5: If there were any witnesses to the accident, provide their names and contact details.
06
Step 6: Specify the injuries sustained by the insured person as a result of the accident.
07
Step 7: Attach any supporting documents such as medical reports or police reports related to the accident.
08
Step 8: Review the form to ensure all fields are properly filled and all necessary information is provided.
09
Step 9: Sign and date the form to complete the personal accident nomination form.

Who needs personal accident nomination form?

01
Anyone who is looking to nominate a person for personal accident coverage needs to fill out the personal accident nomination form. This could be the insured person themselves, or someone acting on behalf of the insured person, such as a family member or legal representative.
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The personal accident nomination form is a document used to designate a beneficiary or beneficiaries who will receive compensation in the event of the policyholder's accidental death or disability.
Individuals who hold a personal accident insurance policy are required to file the personal accident nomination form to specify their chosen beneficiaries.
To fill out the personal accident nomination form, the policyholder must provide personal details, including their name and policy number, and specify the names and relationships of the nominated beneficiaries.
The purpose of the personal accident nomination form is to ensure that the insurance benefits are paid to the designated individuals in case of an accident resulting in death or disability.
The information that must be reported includes the policyholder's personal details, policy number, and the names, addresses, and relationships of the nominated beneficiaries.
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