MOTOR CLAIMS
Copy of Form 9 or 13, for company-owned vehicle.
Claim services for vehicle damage, theft, third party
property damage and others.
Introduction
Here are the general guidelines to adopt in the event of a
possible claim happening:
To lodge a police report within 24 hours from the
time of the accident.
To notify us of the accident as soon as possible.
Arrange to send your damaged vehicle to the
nearest authorised panel workshop.
All correspondence received from third parties must
be forwarded to our company.
Do not admit liability and do not negotiate or offer
compensation to any third party.
Motor Accident Damage Claim
Documentation required for claims purposes:
Duly signed and completed Motor Accident Advice
Form.
Copy of insurance policy schedule / cover note.
Police report.
Copy of updated registration card (both sides).
Copy of road tax disc.
Copy of Insured's identity card.
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Workshop estimate for repairs.
Motor Accident Damage Claim (Insured Not At Fault -
ODKFK)*
Documentation required for claims purposes:
Duly signed and completed Motor Accident Advice
Form.
Copy of insurance policy schedule / cover note.
Police report.
Copy of updated registration card (both sides).
Copy of road tax disc.
Copy of Insured's identity card.
Copy of Form 9 or 13, for company-owned vehicle.
Copy of driver's identity card and driving license.
Copy of duly signed ODKFK declaration form.
Copy of all third parties' police reports.
Police investigation outcome.
JPJ search of third party vehicle / Third party vehicle's
insurance information.
Workshop estimate for repairs.
*You may make a claim under this claim type provided
always that the third party vehicle is insured, identifiable,
and / or not a vehicle used for carriage of passengers for
hire or reward (e.g. taxis, hire cars, public buses, and
others), not a vehicle insured by non-Malaysian insurers,
and there is no personal injury claim involved.
Motor Theft Claim
Documentation required for claims purposes:
Duly signed and completed Motor Accident Advice
Form.
Police report.
Copy of updated registration card (both sides).
Copy of road tax disc.
Copy of Insured's identity card.
Copy of Form 9 or 13, for company-owned vehicle.
Copy of driver's identity card and driving license.
Copy of Hire Purchase Agreement, if any.
Windscreen Claim
Documentation required for claims purposes:
Duly signed and completed Windscreen Claim Form.
Copy of insurance policy schedule / cover note.
Police report (If you repair / replace the windscreen
outside of the panel Windscreen Repairs and
Replacement Centres or, outside of our panel of
collision repair workshops or DRS Quality workshops)
Copy of updated registration card (both sides).
Copy of road tax disc.
Copy of Insured's identity card.
Copy of Form 9 or 13, for company-owned vehicle.
Copy of driver's identity card and driving license.
Original photographs before & after repair of
damaged windscreen with imprint date (must show
the full view of the vehicle, a close-up view of the
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damaged windscreen, manufacturer of the glass, and
the damaged windscreen removed from the vehicle).
Original repairer's bill / receipt.
Payment authorisation letter to repairer.
Tinted bill and warranty card for previous and new
replacement (if the insured vehicle was fitted with
tinted film at time of loss).
Third Party Property Damage or Third Party Bodily
Injury (For notification purposes only)
Documentation required for claims purposes:
Duly signed and completed Motor Accident Advice
Form.
Police report.
Copy of updated registration card (both sides).
Copy of road tax disc.
Copy of Insured's identity card.
Copy of Form 9 or 13, for company-owned vehicle.
Copy of driver's identity card and driving license.
All correspondence from third party / third party
solicitor.
 Documentation required for claiming purposes:
NON-MOTOR CLAIMS
Completed Claim Form.
Claim services for accidents and injury, theft, fire, liability Medical Report from the attending Medical
and other non - motor claims. Practitioner.
Original medical bills (if policy is extended to cover
Introduction
medical expenses).
Here are the general guidelines to adopt in the event of a Police report if it is a vehicular accident or fatal
possible claim happening: accident.
Wages records / salary slips for the last 3 months
Immediately notify your Insurer by telephone of the
prior to the accident or Letter of Appointment
accident / loss and submit a written statement of
(applies to Group Personal Accident).
claim together with full particulars and supporting
documentation to Insurers as soon as possible. In the event of fatal accident:
In the event of theft, fire, motor vehicle accident or
fatal accident, lodge a police report immediately. Death Certificate.
Where applicable, notify the Fire Brigade Burial Certificate.
immediately. Post Mortem Report.
When injury is concerned, seek medical treatment Letter of Administration / Grant of Probate.
from a qualified medical practitioner immediately. All other information and documentary evidence as the
Take all reasonable steps to minimize the extent of Insurer / appointed adjusters may require other than the
the loss or damage. above.
Give immediate notice of claim to the party
responsible for the loss / damage.
For claims received from third parties, do not admit Workmen's Compensation Claims
liability or negotiate settlement or repudiate liability
without the written consent of your Insurers. Documentation required for claiming purposes:
Immediately forward all notices of claim and
Completed Claim Form.
documents to your Insurers unanswered.
Medical Report.
Original medical bills.
Labour Assessment, if available.
Personal Accident Claims

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 Memorandum of Agreement if it is a fatal accident All other information and documentary evidence as
involving foreign worker. the Insurer / appointed adjusters may require other
Police report if it is a vehicular accident or fatal than the above.
accident.
Wages records / salary vouchers for the last 6
months prior to the accident. Goods in Transit / Marine Inland Transit Claims
In the event of fatal accident: Documentation required for claiming purposes:
Death Certificate. Completed Claim Form.
Burial Certificate. Police report.
Post Mortem Report. Purchase invoices / suppliers bills.
Letter of Administration / Grant of Probate. Packing list.
Contract of Carriage / Delivery Note / Consignment
Furnish all other information and documentary evidence as
Note.
the Insurer or appointed adjusters may require other than
Correspondence holding the carriers / freight
the above.
forwarders / or other bailees responsible for the
damage / loss.
Furnish all other information and documentary
Marine Cargo Claims
evidence as the Insurer / appointed adjuster may
Documentation required for claiming purposes: require other than the above.

Official Claim Bill.

Original Policy / Certificate of Insurance. Fire Claims
Original Bill of Lading (if shipment by sea) OR Airway
Bill (if shipment by air). Documentation required for claiming purposes:
Copy of Suppliers Invoice and Packing List.
Completed Claim Form.
Custom Declaration Form.
Police report.
Inward / Outward Survey Report.
Fire Brigade Report.
Shipping Agents Tally Sheets.
Purchase invoices / receipts / valuation reports in
Correspondence holding the respective parties
respect of the damaged items / articles.
responsible for the loss and their respective replies.
Stock records.

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 Sales reports.
Quotations on the estimated cost of repair to the
damaged building and or other properties insured,
All other information and documentary evidence as
the Insurer / appointed adjusters may require other
than the above.
Business Interruption Claims
Documentation required for claiming purposes:
Detailed Statement of Claim.
Sales Reports.
Audited Accounts including Detailed Profit and Loss
Account.
Details of Additional Costs Incurred To Mitigate
Losses, if any.
Details of Costs Savings, if any.
Furnish all information and documentary evidence as
the Insurer or appointed adjusters may require other
than the above.
Houseowners / Householders Claims
Documentation required for claiming purposes:
Completed Claim Form.
Police report in the event of theft or fire.
Fire brigade report in the event of a fire.
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Photographs depicting the damaged items or
location of loss e.g. theft. This will be waived if
adjuster is appointed.
Quotations on the cost of repairs / original purchase
invoices / receipts / valuation reports of the stolen
articles or damaged properties.
All other information and documentary evidence as
the Insurer / appointed adjusters may require other
than the above.
All Risks Claims
Documentation required for claiming purposes:
Completed Claim Form.
Police report, in the event of a theft or fire.
Purchase invoices / receipts / valuation reports of the
stolen or damaged articles.
Photographs of losses or damages of the affected
items, if available.
All other information and documentary evidence as
the Insurer / appointed adjusters may require other
than the above.
Burglary and Money Claims
Documentation required for claiming purposes:
Completed Claim Form.
For Burglary claims, purchase invoices / receipts /
valuation reports of the stolen or damaged items.
 For Money claims, copies of your accounting or other
documentation to establish the exact amount of loss.
This includes copies of receipts, payment vouchers,
pay-in slips, cheque butts, bank statements etc.
Photographs of the stolen items and point of entry, if
available.
Where applicable, copy of letter holding security
company liable for the break-in and their reply.
All other information and documentary evidence as
the Insurer / appointed adjusters may require other
than the above.
Equipment Claims
Documentation required for claiming purposes:
Completed Claim Form.
Police report, where applicable.
Copy of equipment registration card.
Photocopy of drivers driving license and identity
card.
Photocopy of hire purchase agreement, where
applicable.
Quotations on estimated cost of repair /
replacement.
All other information and documentary evidence as
the Insurer / appointed adjusters may require other
than the above.
Fidelity Guarantee Claims
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Documentation required for claiming purposes:
Completed Claim Form.
Police report.
Copy of employment and termination letters issued
to defalcator.
Latest salary slip and a statement of the balance
amount due / amount of claim.
Documents substantiating the defalcated amount.
Internal investigation report.
All other information and documentary evidence as
the Insurer / appointed adjusters may require other
than the above.
Public Liability Claims
Documentation required for claiming purposes:
Completed Claim Form.
Police report, where appropriate.
Internal investigation report on full circumstances
and cause of damage / injury suffered.
In the event of injuries sustained, medical report and
original medical bills upon receipt.
In the event of death, death certificate, post-mortem
report and burial permit.
In the event of property damage, photographic
evidence and quotations on estimated cost of
repairs.
All other information and documentary evidence as
the Insurer / appointed adjusters may require other
than the above.
 Living Care
HEALTH CLAIMS
Download the following forms and documents to find out
Claim services for health related matters. more about this policy:
Introduction Claim Form
Medical Attendant's Report on Critical Illness
In the event of claims, you are to give notification in writing
(Alzheimer's Disease / Severe Dementia)
within 30 days of a disability and to provide the policy
Medical Attendant's Report on Critical Illness (Aorta
number and the name of the insured / claimant.
Surgery / Heart Valve Replacement)
Medical Attendant's Report on Critical Illness (Benign
Brain Tumour / Brain Surgery)
Individual Hospitalization and Surgical
Medical Attendant's Report on Critical Illness
Documentation to be provided to expedite the claim (Blindness / Deafness / Loss of Speech)
process: Medical Attendant's Report on Critical Illness
(Angioplasty and Other Invasive Treatments for
Claim Form. Coronary Artery Disease / Coronary Artery By-Pass
Original bills and receipts. Surgery / Heart Attack / Other Serious Coronary
Medical report. Artery Disease)
Any other relevant documents. Medical Attendant's Report on Critical Illness
(Cancer)
Medical Attendant's Report on Critical Illness
Group Hospitalization and Surgical (Cardiomyopathy)
Medical Attendant's Report on Critical Illness
Documentation to be provided to expedite the claim
(Chronic Aplastic Anaemia)
process:
Medical Attendant's Report on Critical Illness (Coma)
Claim Form. Medical Attendant's Report on Critical Illness
Original bills and receipts. (Fulminant Viral Hepatitis)
Medical report. Medical Attendant's Report on Critical Illness (HIV
Any other relevant documents. Infection Due to Blood Transfusion / Full-Blown AIDS)
Medical Attendant's Report on Critical Illness (Kidney
Failure)

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 Medical Attendant's Report on Critical
Stage Liver Failure)
Medical Attendant's Report on Critical
Stage Lung Disease)
Medical Attendant's Report on Critical
Head Trauma)
Medical Attendant's Report on Critical
(Medullary Cystic Disease)
Medical Attendant's Report on Critical
Organ / Bone Marrow Transplant)
Medical Attendant's Report on Critical
(Bacterial Meningitis / Encephalitis)
Medical Attendant's Report on Critical
Neuron Disease)
Medical Attendant's Report on Critical
(Multiple Sclerosis)
Illness (End- Medical Attendant's Report on Critical Illness
(Muscular Dystrophy)
Illness (End- Medical Attendant's Report on Critical Illness
(Paralysis of Limbs)
Illness (Major Medical Attendant's Report on Critical Illness
(Parkinsons Disease)
Illness Medical Attendant's Report on Critical Illness
(Primary Pulmonary Arterial Hypertension)
Illness (Major Medical Attendant's Report on Critical Illness
(Stroke)
Illness Medical Attendant's Report on Critical Illness
(Systemic Lupus Erythematous (SLE) with Lupus
Illness (Motor Nephritis)
Medical Attendant's Report on Critical Illness (Third
Illness Degree Burns)