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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

Public Liability 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.

Review

Click here for PIDM's TIPS Brochure.

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