No. 1* In Unit Trust & Private Retirement Scheme

Insurance Products: Documents Required For Claim

  • Claim for Complimentary*/Optional Insurance under the following insurance companies

    • A) AIA Bhd
    • B) AIA PUBLIC Takaful Bhd
    • C) Syarikat Takaful Malaysia Bhd
    • D) Lonpac Insurance Bhd

    A)AIA Berhad

      Claim for Complimentary*/Optional Insurance

      Death Claim- Natural/Illness/Accident

      1. Claimant’s Statement (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 nominee's NRIC/Birth Certificate
      5. Certified true copy of Marriage/Birth Certificate (for proof of relationship)
      6. Post- Mortem report (due to accident)
      7. Certified true copy of police report (due to accident)
      8. Photocopy of newspaper cuttings (if any)
      9. Burial Certificate/Permit

      Total & Permanent Disability Claim (TPD) - Term/Personal Accident

      1. Claimant’s Statement (to be completed by Claimant)
      2. Attending Physician’s Statement (to be completed by Doctor)
      3. Certified true copy of Claimant's NRIC
      4. Certified true copy of medical report (if any)
      5. Certified true copy of Police Report (due to accident, if any)
      6. Certified true copy of medical report from SOCSO, if claiming from SOCSO
      7. Letter of termination from employer (if employed)

      Partial Permanent Disability Claim (PPD) - Accidental only

      1. Claimant’s Statement (to be completed by Claimant)
      2. Attending Physician’s Statement (to be completed by Doctor)
      3. Certified true copy of Claimant's NRIC
      4. Certified true copy of related medical report (if any)
      5. Certified true copy of police report (if any)
      6. Photographs depicting the injuries sustained by the Injured Person (if any)

      Critical Illness (only applicable to Mutual Life Plus 2 - AIA)

      1. Claimant’s Statement (to be completed by Claimant)
      2. Certified true copy of Claimant's NRIC
      3. Certified true copy of related medical report (if any)
    B)AIA PUBLIC Takaful Berhad

      Claim for Complimentary*/Optional Insurance

      Death Claim- Natural/Illness/Accident

      1. Claimant's Statement - Death Claim
      2. Attending Physician’s Statement - Death Claim (To be completed by Attending Physician at the claimant's expense)
      3. Consent for the release of information form
      4. Certified true copy of Death Certificate
      5. Certified true copy of deceased’s NRIC
      6. Certified true copy of nominee's NRIC/Birth Certificate
      7. Certified true copy of Marriage/Birth Certificate (for proof of relationship)
      8. Post- Mortem report (due to accident)
      9. Certified true copy of police report (due to accident)
      10.Photocopy of newspaper cuttings (if any)
      11.Burial Certificate/Permit

      Total & Permanent Disability Claim (TPD) - Term/Personal Accident

      1. Claimant’s Statement - Total & Permanent Disability Claim (To be completed by Person Covered/Claimant
      2. Attending Physician’s Statement - Total & Permanent Disability Claim (To be completed by the Attending Physician/Surgeon at the Claimant's own expenses)
      3. Certified true copy of Claimant's NRIC
      4. Certified true copy of medical report (if any)
      5. Certified true copy of Police Report (due to accident, if any)
      6. Certified true copy of medical report from SOCSO, if claiming from SOCSO
      7. Letter of termination from employer (if employed)

      Partial Permanent Disability Claim (PPD)- (Complimentary* Insurance - Accidental only & Mutual Takaful Protection – All Causes)

      1. Claimant’s Statement - Total & Permanent Disability Claim (To be completed by Person Covered/Claimant)
      2. Attending Physician’s Statement - Total & Permanent Disability Claim (To be completed by the Attending Physician/Surgeon at the Claimant's own expenses)
      3. Certified true copy of Claimant's NRIC
      4. Certified true copy of related medical report (if any)
      5. Certified true copy of police report (if any)
      6. Photographs depicting the injuries sustained by the Injured Person (if any)

      Critical Illness (only applicable to Mutual Takaful Protection)

      1. Claimant’s Statement – Critical Illness and Female Product Claim (To be completed by Person Covered)
      2. Certified true copy of Claimant's NRIC
      3. Certified true copy of related medical report (if any)
    C)Syarikat Takaful Malaysia Bhd

      Claim for Complimentary* Insurance

      Death Claim- Natural/Illness/Accident

      1. Death Claim Form for Group Family Takaful Plan
      2. Doctor’s Statement (to be completed by Doctor)
      3. Certified true copy of Death Certificate
      4. Certified true copy of deceased’s NRIC
      5. Certified true copy of nominee's NRIC/Birth Certificate
      6. Certified true copy of Marriage/Birth Certificate (for proof of relationship)
      7. Post- Mortem report (due to accident)
      8. Certified true copy of police report (due to accident)
      9. Photocopy of newspaper cuttings (if any)
      10. Burial Certificate/Permit

      Total & Permanent Disability Claim (TPD) - Term/Personal Accident

      1. Disability Claim Form For Group Family Takaful Plan (to be completed by Claimant)
      2. Medical Certificate For Disability (to be completed by Doctor)
      3. Certified true copy of Claimant's NRIC
      4. Certified true copy of medical report (if any)
      5. Certified true copy of Police Report (due to accident, if any)
      6. Certified true copy of medical report from SOCSO, if claiming from SOCSO
      7. Letter of termination from employer (if employed)

      Partial Permanent Disability Claim (PPD) - Accidental only

      1. Disability Claim Form For Group Family Takaful Plan (to be completed by Claimant)
      2. Medical Certificate For Disability (to be completed by Doctor)
      3. Certified true copy of Claimant's NRIC
      4. Certified true copy of related medical report (if any)
      5. Certified true copy of police report (if any)
      6. Photographs depicting the injuries sustained by the Injured Person (if any)

      Claim for Mutual Gold Complimentary* Takaful Group PA, PRS – Shariah-Based Series Complimentary* Personal Accident and Public e-Islamic Cash Deposit Fund Complimentary* Personal Accident

      Death Claim – Accidental only

      1. Death Claim Form for Group Family Takaful Plan
      2. Doctor’s Statement (to be completed by Doctor)
      3. Certified true copy of Death Certificate
      4. Certified true copy of deceased’s NRIC
      5. Certified true copy of nominee's NRIC/Birth Certificate
      6. Certified true copy of Marriage/Birth Certificate (for proof of relationship)
      7. Post- Mortem report (due to accident)
      8. Certified true copy of police report (due to accident, if any)
      9. Photocopy of newspaper cuttings (if any)
      10.Burial Certificate/Permit

      Total & Permanent Disability Claim (TPD) – Accidental only

      1. Disability Claim Form For Group Family Takaful Plan (to be completed by Claimant)
      2. Medical Certificate For Disability (to be completed by Doctor)
      3. Certified true copy of Claimant's NRIC
      4. Certified true copy of medical report (if any)
      5. Certified true copy of Police Report (due to accident, if any)
      6. Certified true copy of medical report from SOCSO, if claiming from SOCSO
      7. Letter of termination from employer (if employed)

      Partial Permanent Disability Claim (PPD) - Accidental only

      1. Disability Claim Form For Group Family Takaful Plan (to be completed by Claimant)
      2. Medical Certificate For Disability (to be completed by Doctor)
      3. Certified true copy of Claimant's NRIC
      4. Certified true copy of related medical report (if any)
      5. Certified true copy of police report (due to accident, if any)
      6. Photographs depicting the injuries sustained by the Injured Person (if any)
    D)Lonpac Insurance Bhd

      Claim for Mutual Gold Complimentary* Group Personal Accident, PRS – Conventional Series Complimentary* Personal Accident and Public e-Cash Deposit Fund Complimentary* Personal Accident

      Personal Accident Death Claim / Total and Permanent Disability Claim

      1. Notice of Claim Under Personal Accident Policy
      2. Medical Certificate (to be completed by Doctor)
      3. Certified true copy of Death Certificate (deceased case)
      4. Certified true copy of deceased’s NRIC
      5. Certified true copy of nominee's NRIC/Birth Certificate
      6. Certified true copy of Marriage/Birth Certificate (for proof of relationship)
      7. Post- Mortem report (deceased case)
      8. Certified true copy of police report (if any)
      9. Photocopy of newspaper cuttings (if any)
      10.Burial Certificate/Permit


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    Note:

    Details in this web page are for information purposes only. The benefits and exclusions described herein are subject to all the terms and conditions of the Master Policy. The copy can be viewed at any of Public Mutual Customer Service Centers/Branches

    * Subject to terms and conditions.