Claims

Click here to download the declaration by member (Eng)

Click here to download the declaration by doctor (Eng)

Click here to download the interactive - Declaration by member (Eng)

Click here to download the interactive - Declaration by doctor (Eng)

Pregnancy related sickness benefit - Declaration by Member

Pregnancy related sickness benefit -Declaration by treating obstetrician or gynaecologist

Declaration by Psychiatrist

Mental and Behavioural Form

Click here to download the Professional Health Preserver claim form - Member

Click here to download the Professional Health Preserver claim form - Doctor

Click here to download the Family Responsibility Rider Benefit - Admission (Declaration by Doctor)

Click here to download the Family Responsibility Rider Benefit - Admission (Declaration by Member)

Click here to download the Family Responsibility Rider Benefit - Death Claim Form (Declaration by Doctor)

Click here to download the Family Responsibility Rider Benefit - Death Claim Form (Declaration by Member)

Click here to download the Family Responsibility Rider Benefit - Terminal Illness Benefit form (Child) – (Declaration by Doctor)

Click here to download the Family Responsibility Rider Benefit – Terminal Illness Benefit form (Child) – (Declaration by Member)

Occupational and quality of life questionnaire form for Members

Click here to download the Disability claim form - Member

Click here to download the Disability claim form - Doctor

PPS Critical Illness Cover / Severe Illness Claim Form - Member

PPS Critical Illness Cover / Severe Illness Claim form - Doctor

Click here to download the Critical Illness - Pregnancy complication cover Member

Click here to download the Critical Illness - Pregnancy complication cover Doctor

Click here to download the Terminal Illness Benefit claim form - Member

Click here to download the Terminal Illness Benefit claim form - Doctor

Click here to download the Death claim form - Trust Banking Form

Click here to download the Death claim form - Beneficiary Banking form

Click here to download the Death claim form - Estate Banking Details

Click here to download the Death claim form - Medical Report for Deaths

Click here to download the Death claim form - Declaration by Police

Click here to download the Death claim form - Immediate Needs Form