Claims

Claims Form
Attending Physician's Statement (APS) - Critical Illness (CI)
Attending Physician's Statement (APS) - Death Claim
Attending Physician's Statement (APS) - Female Product
Attending Physician's Statement (APS) - Total & Permanent Disability (TPD)

Claims Form

AIA Bhd.

Accident Claim Form

How to submit my form?

Corporate Solutions - Hospital And Surgical Claim (For Worksite Product)

Critical Illness Claim Form (Also Applicable for Female Product)

How to submit my form?

Critical Illness Claim Form (Credit Life)

CRS Self Certification Form - Entity & Controlling Person

CRS Self Certification Form - Individual

Death Claim Form (Corporate Solutions)

Death Claim Form (Credit Life)

Death Claim Form (Individual Life)

How to submit my form?

Hospitalisation Claim Form (Credit Life)

Hospitalisation Claim Form (For Individual)

Member Hospital and Surgical Claim Form (Corporate Solutions)

Member Outpatient Claim Form (Corporate Solutions)

PA Travel Claim Form

How to submit my form?

Total & Permanent Disability Claim Form

How to submit my form?

Total & Permanent Disability Claim/ Temporary Total Disability Claim Form (Credit Life)

Show less

AIA General Berhad

Accident Claim Form

How to submit my form?

E-Payment Application Form For General Insurance

How to submit my form?

Death Claim Form

How to submit my form?

Total and Permanent Disability Claim Form

How to submit my form?

Consent For The Release Of Information Form

General Claim Form

How to submit my form?

Motor Claim Form

How to submit my form?

PA Travel Claim Form

How to submit my form?

Group Personal Accident Claim Form (GPA)

Group Personal Accident – Travel Claim Form (GPA)

Group Personal Accident (GPA) Claimant Statement for Accidental Death and Disablement Total and Permanent Disability

Show less

AIA PUBLIC Takaful Bhd.

Critical Illness Claim Form (Credit Life)

Death Claim Form (Credit Life)

Hospitalisation Claim Form (Credit Life)

Total & Permanent Ability Claim Form / Temporary Total Disability Claim Form (Credit Life)

Accident Claim Form

How to submit my form?

Death Claim Form (Individual Life)

How to submit my form?

Hospitalisation Claim Form (For Individual)

Claim Form For Life (Group Term Life)

Corporate Solutions Hospital And Surgical Claim (For Worksite Product)

Critical Illness Claim Form

How to submit my form?

Member Hospital and Surgical Claim Form

Member Outpatient Claim Form

Total and Permanent Disability Claim Form

How to submit my form?

Show less

Attending Physician's Statement (APS) - Critical Illness (CI)

AIA Bhd.

APS - CI - AIDS Due to Blood Transfusion/Occupationally Acquired Human Immunodeficiency Virus (HIV) Infection

How to submit my form?

APS - CI - Benign Brain Tumor

How to submit my form?

APS - CI - Blindness/Total Loss of Sight or Deafness/Total Loss of Hearing or Loss of Speech

How to submit my form?

APS - CI - Brain Surgery

How to submit my form?

APS - CI - Cancer

How to submit my form?

APS - CI - Chronic Aplastic Anaemia

How to submit my form?

APS - CI - Chronic Liver Disease

How to submit my form?

APS - CI - Coma

How to submit my form?

APS - CI - Coronary Artery Disease Requiring Surgery/Other Serious Coronary Artery Disease/Angioplasty/Heart Attack

How to submit my form?

APS - CI - Encephalitis or Bacterial Meningitis

How to submit my form?

APS - CI - End Stage Kidney Failure

How to submit my form?

APS - CI - End Stage Lung Disease or Major Organ/Bone Marrow Transplant or Major Burns or Terminal Illness

How to submit my form?

APS - CI - Fulminant Viral Hepatitis

How to submit my form?

APS - CI - Heart Valve Surgery

How to submit my form?

APS - CI - Loss of Independent Existence

How to submit my form?

APS - CI - Major Head Trauma

How to submit my form?

APS - CI - Medullary Cystic Disease

How to submit my form?

APS - CI - Multiple Sclerosis or Poliomyelitis

How to submit my form?

APS - CI - Muscular Dystrophy or Motor Neuron Disease

How to submit my form?

APS - CI - Paralysis/Paraplegia

How to submit my form?

APS - CI - Parkinson's Disease or Alzheimer's Disease/Irreversible Organic Degenerative Brain Disorders

How to submit my form?

APS - CI - Primary Pulmonary Arterial Hypertension/Surgery to Aorta/Severe Cardiomyopathy

How to submit my form?

APS - CI - Stroke

How to submit my form?

APS - CI & Female Product - Systemic Lupus Erythematosus (S.L.E.) with Lupus Nephritis

How to submit my form?

Show less

AIA PUBLIC Takaful Bhd.

APS - CI - AIDS Due to Blood Transfusion/Occupationally Acquired Human Immunodeficiency Virus (HIV) Infection

How to submit my form?

APS - CI - Benign Brain Tumor

How to submit my form?

APS - CI - Blindness/Total Loss of Sight or Deafness/Total Loss of Hearing or Loss of Speech

How to submit my form?

APS - CI - Brain Surgery

How to submit my form?

APS - CI - Chronic Aplastic Anaemia

How to submit my form?

APS - CI - Chronic Liver Disease

How to submit my form?

APS - CI - Coma

How to submit my form?

APS - CI - Coronary Artery Disease Requiring Surgery/Other Serious Coronary Artery Disease/Angioplasty/Heart Attack

How to submit my form?

APS - CI - Encephalitis or Bacterial Meningitis

How to submit my form?

APS - CI - End Stage Kidney Failure

How to submit my form?

APS - CI - End Stage Lung Disease or Major Organ/Bone Marrow Transplant or Major Burns or Terminal Illness

How to submit my form?

APS - CI - Fulminant Viral Hepatitis

How to submit my form?

APS - CI - Heart Valve Surgery

How to submit my form?

APS - CI - Loss of Independent Existence

How to submit my form?

APS - CI - Major Head Trauma

How to submit my form?

APS - CI - Medullary Cystic Disease

How to submit my form?

APS - CI - Multiple Sclerosis or Poliomyelitis

How to submit my form?

APS - CI - Muscular Dystrophy or Motor Neuron Disease

How to submit my form?

APS - CI - Paralysis/Paraplegia

How to submit my form?

APS - CI - Parkinson's Disease or Alzheimer's Disease/Irreversible Organic Degenerative Brain Disorders

How to submit my form?

APS - CI - Primary Pulmonary Arterial Hypertension/Surgery to Aorta/Severe Cardiomyopathy

How to submit my form?

APS - CI - Stroke

How to submit my form?

APS - CI & Female Product - Systemic Lupus Erythematosus (S.L.E.) with Lupus Nephritis

How to submit my form?

APS - Cl - Cancer

How to submit my form?

Show less

Attending Physician's Statement (APS) - Death Claim

AIA Bhd.

APS - Death claim

How to submit my form?

Show less

AIA General Bhd.

APS - Death claim

How to submit my form?

Show less

AIA PUBLIC Takaful Bhd.

APS - Death Claim

How to submit my form?

Show less

Attending Physician's Statement (APS) - Female Product

AIA Bhd.

APS - Female Product - Carcinoma-in-situ (CIS) of Cervix or Carcinoma-in-situ (CIS) of Breast

How to submit my form?

APS - Female Product - Disseminated Intravascular Coagulation (D.I.C.)

How to submit my form?

APS - Female Product - Down's Syndrome

How to submit my form?

APS - Female Product - Ectopic Pregnancy / Molar Pregnancy / Eclampsia

How to submit my form?

APS - Female Product - Reconstructive Surgery of Breast Cancer Benefit/Breast Lumpectomy/Mastectomy

How to submit my form?

APS - Female Product - Spina Bifida

How to submit my form?

APS - Female Product - Tetralogy Fallot

How to submit my form?

Show less

AIA PUBLIC Takaful Bhd.

APS - Female Product - Carcinoma-in-situ (CIS) of Cervix or Carcinoma-in-situ (CIS) of Breast

How to submit my form?

APS - Female Product - Disseminated Intravascular Coagulation (D.I.C.)

How to submit my form?

APS - Female Product - Down's Syndrome

How to submit my form?

APS - Female Product - Ectopic Pregnancy / Molar Pregnancy / Eclampsia

How to submit my form?

APS - Female Product - Reconstructive Surgery of Breast Cancer Benefit/Breast Lumpectomy/Mastectomy

How to submit my form?

APS - Female Product - Spina Bifida

How to submit my form?

APS - Female Product - Tetralogy Fallot

How to submit my form?

Show less

Attending Physician's Statement (APS) - Total & Permanent Disability (TPD)

AIA Bhd.

APS - Total & Permanent Disability Claim

How to submit my form?

Show less

AIA General Bhd.

APS - Total & Permanent Disability Claim

How to submit my form?

Show less

AIA PUBLIC Takaful Bhd.

APS - Total & Permanent Disability Claim

How to submit my form?

Show less

Can't find the form you're looking for?

Let us know how we can help you