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Before you Begin

To ensure a smooth claims process, please ensure the issued form must be completed and submitted within seven (7) days of receipt.
Information you will need
1

NRIC number

2

Policy

Policy number

Sum insured

3

Fidelity Details

Date of hospitalize

Details of Surgery





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Insured's Details

What is your policy detail?

Please enter a valid name.
Oops, looks like we can't find your policy. Please enter a valid policy number. Or did you forget your policy number? (underline redirect to account page)

What is the best way to contact you?

Please enter a valid name.
Oops, looks like we can't reach you with the number you've provided. Please enter a valid phone number, use numbers only. 

Optional

Please enter a valid address

What is the claimant's full name?

Optional

Please enter a valid name.

Claim Details

When was the date of incident

Please ensure the year chosen is between 1900 and 2021

What is the place of incident

Please enter a valid place.

Describe the incident

Please enter less than 1000 characters.

When was this loss/damage discovered?

1- Please enter the date of incident 2- Please ensure the year chosen is between 1900 and 2021

How did the accident occur?

1- Please explain your issue, so that we can get the appropriate staff to contact you. 2- Please enter less than 1000 characters.

What is the present or last known address?

Optional

Please enter less than 1000 characters.

What is the person who committed the frauds occupation? 

Please enter a valid occupation.

Details of any salary/commission

Please enter less than 1000 characters.

When was this discovered?

Please ensure the year chosen is between 1900 and 2021

Since what date has the incident occurred?

Please ensure the year chosen is between 1900 and 2021

In what manner was it concealed?

Please enter less than 1000 characters.

What led to the incident discovery?

Please enter less than 1000 characters.

Review

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