ទាញយក
Health Form

Insured’s part - Claim Form for Injury / Illness


ទាញយក
Health Form

Attending physician's part - Physician Report


ទាញយក
Death Claim Form

Death Claim Request Form - Beneficiary fill in


ទាញយក
Death Claim Form

Declaration of Physician in case of Insured's Death


ទាញយក
TPD Form

Compensation Claim Form for Total Permanent Disability


ទាញយក
TPD Form

Report of Physician Certifying Disability


ទាញយក
In Case of Death Form

The Consent letter of Beneficiary or Heir(s) to disclose personal data