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Documents required for processing of accident insurance claims:

  • Company Claim Request Form – the Insured completes the information on page 1 and the doctor fills in page 2
  • X-ray film or copy of X-ray report in the event of a bone fracture or dismemberment
  • Other documents, if any, such as a police report

Note: The Insured's signature on the Claim Request Form must be the same as in the insured's policy document.

Download Claim Request Form