Claim for Complimentary* Insurance
Death Claim - Natural/Illness/Accident
1. Death Claim Form (to be completed by Claimant)
2. Certified true copy of Death Certificate
3. Certified true copy of Deceased’s NRIC
4. Certified true copy of Claimant's NRIC
5. Certified true copy of Proof of Claimant’s relationship to Deceased
6. Death Claim Doctor’s Statement (to be completed by the last attending physician at own expenses)
7. Certified true copy of Grant of Probate/Letter of Administration, for Life Assured without Nomination of Beneficiary Form
8. Certified true copy of details Post Mortem Report
9. Certified true copy of Police Report (due to accident)
10. Certified true copy of Toxicology report (due to accident)
11. Copy of Newspaper cutting, if any (due to accident)
Note: If the Deceased is non-Malaysian or if the death event occurred outside Malaysia
12. Certified true copy of Deceased's Full Passport Book/Citizenship Certificate
13. Certified true copy of Confirmation letter from National Registration Department (for death outside of Malaysia)
14. Certified true copy Foreign Death Certificate
Total & Permanent Disability Claim (TPD) – Natural/Illness/Accident
1. Claim Form (to be completed by Claimant)
2. Confidential Medical Certificate (to be completed by the treating Doctor at own expenses)
3. Certified true copy of Life Assured's NRIC
4. Certified true copy of PERKESO offer Letter and PERKESO 'Keputusan Jemaah Doktor'
5. Certified true copy of Medical Report for application of PERKESO Keilatan
6. Certified true copy of Medically Boarded Out Letter from Employer with Medical Report
7. Certified true copy of all relevant investigation Test Reports
8. Certified true copy of Police Report(s) if disability due to an accident, if applicable
9. Copy of Newspaper Cutting(s) if disability due to an accident, if applicable
Partial Permanent Disability Claim (PPD) - Accidental only
1. Claim Form (to be completed by Claimant)
2. Attending Physician’s Statement (to be completed by the treating Doctor at own expenses)
3. Certified true copy of Police Report
4. Certified true copy of X-ray Report(s)
5. Certified true copy of CT scan Report(s)
6. Certified true copy of MRI Report(s)
Terminal Illness
1. Claim Form (to be completed by Claimant)
2. Confidential Medical Certificate (to be completed by the treating Doctor at own expenses)
3. Certified true copy of all relevant investigation Test Reports
Repatriation Benefit
1. Death Claim Form (to be completed by Claimant)
2. Death Claim Doctor’s Statement
3. Death Certificate
4. Original receipts of cost incurred in repatriation of mortal remains and its itemised bills
5. Proof of travel
6. Certified true copy of Deceased’s NRIC
7. Certified true copy of Claimant's NRIC
8. Certified true copy of Proof of Claimant’s relationship to Deceased
9. Certified true copy of Grant of Probate/Letter of Administration, for Life Assured without nomination
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