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

NRIC number

Policy

Policy number

Sum insured

Accident details

Date of accident

Place of accident

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Insured's Details

Choose one plan to protect you and your vehicle

First, tell us about yourself

Information that you provid will be treated with utmost privacy

Full name as per NRIC

Oops enter valid name

NRIC/Passport/BC number

Oops please enter valid NRIC number

Enter Date

enter valid here

Optional

Contact number

enter valid phone number

Email address

enter valid email

enter valid address

What’s your policy detail?

Optional

Policy number

Oops please enter valid policy number

Sum insured

enter valid

What’s your occupation?

Optional

Occupation title

enter valid occupation

Employment type

Employee Type 1
Employee Type 2
Employee Type 3
Employee Type 4

select employee

Do you have other insurance that will cover this loss?

select one option

Have you ever made a claim under any PA policy before?

select one option

Accident Details

When did the accident happen?

when acciendent happend

enter valid date

when acciendent happend

enter valid date

Where did the accident happen at?

Optional

enter valid details

Describe the Accident in detail

enter valid details

What are the witnesses’ names?

(optional)

Witnesses Names

enter valid details

What’s the name of hospital/clinic taken to?

If you were not hospitalised, state the name of the clinic (Optional)

What’s your treatment type?

optional

Inpatient

Outpatient

select one optin

If you were admitted, tell us when

Optional

Date of Admission

enter valid date

Date of Discharge

enter valid date

Were you confined to House or Hospital by Doctor’s orders as the sole result of the injuries?

Optional

select one option

Do you have other insurance that will cover this loss?

select one option

State number of days you expect to be confined due to Doctor’s orders

To House

To Hospital

Days

enter valid work days

State number of days you expect to be confined due to Doctor’s orders

enter valid description

Review

Your claim has been submitted!

Please allow us 3 to 5 working days to get back to you.

For urgent matters, our friendly agents at our Customer Care Hotline are available to tend to your queries every Mondays to Fridays, 8.45am to 5.45pm.

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Life Insurance

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