Claims Form

AIA Bhd.

Accident Claim Form

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

Critical Illness Claim Form (Also Applicable for Female Product)

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)

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

Total & Permanent Disability Claim Form

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

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AIA General Berhad

Accident Claim Form

E-Payment Application Form For General Insurance

Death Claim Form

Total and Permanent Disability Claim Form

Consent For The Release Of Information Form

General Claim Form

Motor Claim Form

PA Travel Claim 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

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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

Death Claim Form (Individual Life)

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

Member Hospital and Surgical Claim Form

Member Outpatient Claim Form

Total and Permanent Disability Claim Form

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

AIA Bhd.

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

APS - CI - Benign Brain Tumor

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

APS - CI - Brain Surgery

APS - CI - Cancer

APS - CI - Chronic Aplastic Anaemia

APS - CI - Chronic Liver Disease

APS - CI - Coma

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

APS - CI - Encephalitis or Bacterial Meningitis

APS - CI - End Stage Kidney Failure

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

APS - CI - Fulminant Viral Hepatitis

APS - CI - Heart Valve Surgery

APS - CI - Loss of Independent Existence

APS - CI - Major Head Trauma

APS - CI - Medullary Cystic Disease

APS - CI - Multiple Sclerosis or Poliomyelitis

APS - CI - Muscular Dystrophy or Motor Neuron Disease

APS - CI - Paralysis/Paraplegia

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

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

APS - CI - Stroke

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

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AIA PUBLIC Takaful Bhd.

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

APS - CI - Benign Brain Tumor

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

APS - CI - Brain Surgery

APS - CI - Chronic Aplastic Anaemia

APS - CI - Chronic Liver Disease

APS - CI - Coma

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

APS - CI - Encephalitis or Bacterial Meningitis

APS - CI - End Stage Kidney Failure

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

APS - CI - Fulminant Viral Hepatitis

APS - CI - Heart Valve Surgery

APS - CI - Loss of Independent Existence

APS - CI - Major Head Trauma

APS - CI - Medullary Cystic Disease

APS - CI - Multiple Sclerosis or Poliomyelitis

APS - CI - Muscular Dystrophy or Motor Neuron Disease

APS - CI - Paralysis/Paraplegia

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

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

APS - CI - Stroke

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

APS - Cl - Cancer

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Attending Physician's Statement (APS) - Death Claim

AIA Bhd.

APS - Death claim

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AIA General Bhd.

APS - Death claim

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AIA PUBLIC Takaful Bhd.

APS - Death Claim

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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

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

APS - Female Product - Down's Syndrome

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

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

APS - Female Product - Spina Bifida

APS - Female Product - Tetralogy Fallot