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Claims

Claims Form

AIA Bhd.

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)
Total & Permanent Disability Claim Form
How to submit my form?
Total & Permanent Disability Claim/ Temporary Total Disability Claim Form (Credit Life)
Claimant's Statement - Major Claims_eInvoice v1.0 (Group Term Life)
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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
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AIA PUBLIC Takaful Bhd.

CRS Self Certification Form - Entity & Controlling Person
CRS Self Certification Form - Individual
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?
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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
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
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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?
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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?
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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
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?
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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?
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Attending Physician's Statement (APS) - Total & Permanent Disability (TPD)

AIA Bhd.

APS - Total & Permanent Disability Claim
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AIA General Bhd.

APS - Total & Permanent Disability Claim
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AIA PUBLIC Takaful Bhd.

APS - Total & Permanent Disability Claim
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