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GROUP INSURANCE MEDICAL CLAIM FORM. 團 體 保 險 醫 療 賠 償 申 請 表. This form is to be completed in block letter by the Insured Employee / Member and separate forms must be used for different claimants (i.e. patients) 此申請表由受保僱員/成員以正楷填寫,每表祇限一位賠償申請人(即病者)使用。
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Application Form for Death Claim (Claimant's Statement) Member : 552 KB : Group Accident Claim Form: Member : 723 KB : Group Total & Permanent Disability Claim Form: Member : 289 KB : Long Term Disability Claim Form: Member : 4 MB : Critical Illness Claim Form: Member : 2 MB
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ACCIDENT & HOSPITALISATION CLAIM FORM . Important Notes: Please submit Inpatient Discharge Summary, Final Bills and Receipts (interim bills are not acceptable). For Accident Claims, please submit a copy of the Medical Leave Certificate (MC) if you are claiming for Weekly Indemnity Benefit.
Visit AIA Philippines's forms library to find all our downloadable insurance forms including living claims, death claims, customer requests and auto-pay.