You must keep a copy of all the original claims submitted online for at least 12 months, as from time to time we might request them from you. To submit a claim, please enter your policy details below and confirm how you would like to receive your claim reference number. Declaration form duly signed2. Before and After repair photographs with date and time stamp (4 angle photos including the windscreen logo). Certified True Copy of Letter of Administration/ Distribution Order (only if un-named beneficiary for individual policy)5. Disability Claim Form (Physician) PDF 276.61 KB Critical Illness Claim Form (Physician) PDF 272.40 KB Medical Indemnity Claim Form (Physician) PDF 280.46 KB Global Health Access Reimbursement Form PDF 293.02 KB Claim Report Form - Fire | Property Line PDF 103.61 KB Copy of updated Registration Card (both sides)4. AXA France IARD S.A. (Branch No: 624115. An Adjuster will be appointed to assess thedamage of your vehicle. My car is safe to drive If your car is safe to drive and you do not need a recovery vehicle, please use our online form to tell us about your claim and we will call you back as soon as possible. Our areas of expertise are applied to a range of products and services that are adapted to the needs of each and every client across three major business lines: property-casualty insurance, life, savings & health and asset management. Police Report2. Claims specialist will review and assess. Call 1800-88-1033 for towing service to a panel repairer. Please sign and return the Discharge voucher to your Agent or email to claims@axa.com.my. You will receive an SMS on your claim and appointment of Adjuster, and when your claim has been approved. Alternatively, you can call 0330 024 1306. Certified True Copy of Comprehensive Post Mortem Report3. It is important that you do not negotiate, admit, repudiate or promise settlement to any third party without AXA's consent. a) Admission to non-panel hospitals.b) Outpatient treatment due to minor injury sustained in an accident.c) Outpatient treatment prior to admission and/or follow-up treatment after discharge from the hospital.d) Day surgery whereby you are not required to stay overnight at the hospital.e) Outpatient cancer treatment and outpatient kidney dialysis.f) Hospitalisation outside Malaysia. Lodge police report within 24 hours. AXA Preferred Workshop3 working days for claims below RM10,000*6 working days for claims RM10,000 & above*, AXA Panel Workshop4 working days for claims below RM5,000*6-8 working days for claims RM5,000 & above*. Customer Care. Bring your car to our windscreen panel repairer. Itemised original bills and receipts covering hospitalisation and surgical expenses for which claim is made must be attached. I/We hereby declare that the statements and facts provided in this claim form are true, copies of documents are identical with the original one, and that I/We have not withheld from the Company, any information within my/our knowledge connected with the incident. Brochure; Policy Wording; Product Disclosure Sheet; Claim Form; Claim Guidelines; Proposal Form; Premium Rates; SmartCare Optimum . Third Party vehicle must be insured under a valid motor insurance policy. AXA Singapore is one of the world's leading insurance companies. Please note that you may experience some delay during our peak season from July – August and from December – January. Copy of Approved Permit (for imported vehicles only)7. AXA Affin General Insurance wishes to inform that trip cancellation claim and all benefits related to COVID-19 for travel policies purchased on and after 31st January 2020 (for China) and 12th March 2020 (worldwide except China) will not be covered. 2. The claim form has to be stamped and signed by the treating practitioner and by you. Copy of Driver's Driving License3. By pooling together industry data, FIS takes a data science approach to fraud detection. Thank you for your online Travel Claim notification. Claims Coverage Coverage Type Requirements Review Coverage. AXA will revert with claim decision within the following time frame. taxi, buses, vehicles for hire/ reward i.e. Once your claim has been approved, panel repairer will start repair works. Police Report/ Accident Report - for motor accident injury claim or criminal incident4. If we cannot sort out your complaint, you can contact our Customer Care Department. birth certificate, marriage certificate. And we get that, that’s why we’re committed to making the claims experience clearer and easier for you. Copy of Driving License6. Claim Form2. Original invoice for tinting (both old and new) or photograph showing the tinted film being peeled off from the damaged glass, Additional documents for repairs at non-panel workshops only:1. The claim form has to be stamped and signed by the treating practitioner and by you. Invoices should be attached with receipts/ paid stamps. You may call the hotline number 1300-88-9979 printed on your medical card prior to your hospital admission for any enquiry. Invoices should be attached with receipts/ paid stamps. Education Malaysia Global Services (EMGS) is wholly owned by the Ministry of Higher Education and is the official gateway to studying in Malaysia as all international student applications to study in Malaysia must be made through this portal. Note: We may request for additional documents or information for Motor claims under further investigation and claims with severe vehicle damage. Click to view our list of panel hospitals under MiCARE Healthcare Card. Required documents For Windscreen Claims:1. By continuing to browse this website, you accept the placement of cookies measuring audience and offering you videos, sharing buttons and content updates from social platforms. Copy of Police Report - for motor vehicle accident injury claim or criminal incident, **Note:** Additional information or documents may be requested if necessary, Download and submit the completed claim form with all listed supporting documents to AXA or your Agent within 14 days from the date of incident, Life Claimant Statement (Non Death)Life TPD Form (By Doctor)Life Consent Form, Supporting documents:-1. AXA Customer Centre is located at: #01-21/22. Claim Form; Medical Claim Medical Report (to be filled by doctor) Original hospital bills and payment receipts; Both forms can be found at AXA Affin's website here. Claim Form2. Take scene of accident photo (for single vehicle accident). Send this claim form together with all supporting documents to AXA Health Customer Care CentreAXA Health Customer Care CentreAXA Health Customer Care Centre at 123 Penang Road, 123 Penang Road, #06123 Penang Road, #06- #06 ---13 Regency House, Singapore 23846513 Regency House, Singapore 238465 DD/MM/YYYY Supporting documents might include medical reports, laboratory test results, ultrasound reports, and referral letters. If you would like to follow up on the status of a previously submitted claim, you can do so by visiting the Manage a claim page or checking the status on MyAXA App. This is what we do each and every day. Copy of Driver's Identity Card and Driving License 3. Claims procedure for different kind of Nature of Loss is listed below. Supporting documents:-Please contact your servicing agent or alternatively Customer Service for assistance. Brochure; Policy Wording; Product Disclosure Sheet Copy of updated Registration Card (both sides)4. Copy of Driver's Identity Card and Driving License (if other than Insured)3. You may call the hotline number 1300-88-9979 printed on your medical card prior to your hospital admission for any inquiry. Bring your car and all listed supporting documents to a panel repairer. Own Damage 'Knock for Knock' (KFK) Claim: This is applicable when your vehicle is damaged after being knocked by another party who is at fault and you may submit your claim to us without losing your No Claims Discount (NCD). This form must be fully completed to avoid any delay in the settlement of claim, and must be signed at both places provided for. French Company No: 722 057 460. on 800 2921 or: SUBMIT A CLAIM Home Insurance Call AXA Home claims. 8.30pm to 5.30pm Monday to Friday (excluding public holidays) Once you've compiled these documents you'll need to submit them to the head office at the address below. Benefits of AXA Preferred Workshops & Roadside Assistance, Proposal Form (For mobile phone users, please ensure that your phone has a pdf reader or editor (i.e. Contact AXA @ 03-21708282 or email claims@axa.com.my to give immediate notification of your claim Personal-Accident-Claim (PDF- 330KB) Personal-Accident-DPP-&-Motorcyclist-PA-Claim-Form (PDF- … Adobe Acrobat Reader) to fill in and sign the form), Goods in Transit Product Disclosure Sheet, Machinery Breakdown Loss of Profit Product Disclosure Sheet, Machinery Insurance Product Disclosure Sheet, Claim Form - Machinery Breakdown Loss of Profit, Proposal Form - Machinery Breakdown Loss of Profit, Contractors' All Risks (CAR) Product Disclosure Sheet, Erection All Risks (EAR) Product Disclosure Sheet, Fire Consequential Loss Product Disclosure Sheet, Public Liability Product Disclosure Sheet, Products Liability Product Disclosure Sheet. Submit all listed required documents to the panel repairer within 2 days from date of incident. Click to view our list of panel hospitals under MediExpress Healthcare Card. AXA Career Site. 1. Download and fill in the claim form, Submit completed claim form within 14 days from date of incident, Upon receipt of full documents including investigation report, AXA will revert with claim decision within 5 working days, Contact your Agent or AXA Branch or Customer Service to give immediate notification of your claim. Original Certificate of Insurance, GI_Health_Claim_FormLife Medical Claim Form by ClaimantLife Medical Claim Form by Doctor, Submit the completed claim form and the listed supporting documents to AXA or your Agent, Upon receipt of full documents, AXA will revert with claim decision within 7 working days, e-claim payment within 7 working days from your claim approval date. Provides innovative insurance solutions for both personal and business needs. Copy of cover note or policy. Jalan Dato' Onn, 50480 Kuala Lumpur, Malaysia; 1300 88 5465 (BNMTELELINK) +603 2698 8044 (General line) bnmtelelink@bnm.gov.my It offers insurers and takaful operators a bigger picture to access claims holistically in order to detect potential fraud. How to make a claim. Enjoy warranty for all repairs up to 12 months for Preferred Workshops and 6 months for Panel Workshops. 8 Shenton Way, #24-01 AXA Tower, Singapore 068811. And we know what we’re doing. 8 Shenton Way #24-01 AXA Tower Singapore 068811. A Policy Owner is an individual to whom this policy is issued for covering:; Own self or; Own self and immediate family member (s) or; Immediate family member(s) only A Policy Owner can also be a company/ business entity to which this policy is issued for covering their employees/members as insured. Making claims has just become simple and easy with AXA Hong Kong, choose the way you want to claim on your employee benefits, medical expenses, critical illness protection, etc. AXA Hong Kong, Download Library, Claim forms, Product Brochure RM100k - RM2m Home Contents Value claimable for house contents if damaged is caused by any of the events covered. Note: AXA's Motor Rescue breakdown service is deemed to be an essential service and will continue to operate throughout the COVID-19 emergency. Note: We may request for additional documents or information for Motor claims under further investigation and claims with severevehicle damage. Note: We may request for additional documents or information for further investigation and claims with severe vehicle damage. Fare paying vehicles i.e. Original Medical Bills & Receipts2. Third party's cover note or JPJ search. Should you need any help during the claims process, please call our Third Party Administrator (MediExpress) at 1300-80-0020. RM50k - RM250k If you have to make an insurance claim, it can be a very stressful time, especially when your life’s already busy. Download and submit the completed claim form with all listed required documents to AXA or your Agent within 7 days from date of incident. Your vehicle and Third Party vehicle is not registered as a government vehicle, Vehicles that are registered outside Malaysia. Statement of Claim 1. AXA Affin General Insurance BerhadLevel 1, Wisma Boustead 67, Jalan Raja Chulan50200 Kuala Lumpur, Tel : +603-2170 8282 (Press 2 for Claims)Email : claims@axa.com.my, Contact AXA to give immediate notification of the claim and download the claim form, Life Death Claim - Doctor Statement (By Doctor), Submit the completed claim form and the listed supporting documents to AXA or your Agent within 30 days from the date of incident, Upon receipt of full documents required, AXA will review and revert with claim decision within 14 working days. Copy of updated Vehicle Registration Card (both sides)4. rented cars, etc. * Excluding claims under further investigation and claims with severe vehicle damage. Credit Life-Hospitalisation Claim Form Credit Life-Total & Permanent Disability Claim/ Temporary Total Disability Claim Form CRS Self Certifcation Form - Entity & Controlling Person 8.30pm to 5.30pm Monday to Friday (excluding public holidays) 3. Customer Service +603 2170 8282 +603 2170 8282. If your claim is approved, we will send you a Discharge voucher with the approved claim amount. Copy of Driving License, Download and submit the completed claim form with supporting documents to AXA or your Agent within 30 days from the date of incident, Life Claimant Statement (Non Death)Life Accident Claim Form (By Doctor)Life Consent Form. Call costs may vary depending on your service provider. Police Report (for Fire & Burglary claim), Photographs of affected item / damaged premise, Purchase invoice of the affected/ stolen items, Written confirmation from repairer to confirm the cause of damage (other than Fire & Burglary), Repair or Replacement Quotation / Invoice, Copy of the police report or certification from club management, Purchase receipt of the affected items / damaged golf clubs, Photographs of affected items/ damaged golf clubs, Purchase invoice of the affected buggy/ turfmate, Confirmation letter of the feat from the club management, Medical Reports (by doctor) /Details Post mortem report, Police Report/ newspaper cutting, if any (applicable to accident case), Proof of relationship e.g. An adjuster may be appointed by AXA for investigation if needed. The Fraud Intelligence System (FIS) was launched by the Governor of Bank Negara at the Malaysian Insurance Summit in 2017. Submit your Travel Insurance Claim online now. Police Report5. e-claim payment within 7 working days upon receipt of the signed Discharge Voucher from you. Customer Service +603 2170 8282 +603 2170 8282. ... submit the claim form together with the required supporting documents to us directly or through your insurance consultant. Send admission letter via e-mail to callcenter@micaresvc.com or fax to 03-78474304 at least 1 day before hospital admission, GI_Health_Claim_Form V6Life Medical Claim Form by ClaimantLife Medical Claim Form by Doctor, Request for a copy of your guarantee letter from MiCare & bring it along for your appoinment, For Cashless Admission to Panel Hospitals - applicable only if you have our AXA HealthCare Card, Download and submit the completed claim form with all listed supporting documents to AXA or your Agent, Life Critical Illness - Cancer Claim (By Doctor), (For supporting documents refer to the section "Supporting Documents" below), Life Critical Illness - Heart Related (By Doctor), Life Critical Illness - Brain and Nerve (By Doctor), Life Critical Illness - Other Illnesses (By Doctor). Claim Form - Dental; Claim Form - Reimbursement (in-patient) Claim Form - Reimbursement (out-patient) Claim Guidelines; Benefits Table; SmartCare Executive . As Malaysia's Central Bank, Bank Negara Malaysia promotes monetary stability and financial stability conducive to the sustainable growth of the Malaysian economy. Copy of third party's police report3. Got comprehensive car insurance with AXA directly? Copy of Insured's Identity Card and Driving License2. Contact AXA @ 03-21708282 or email claims@axa.com.my to give immediate notification of your claim, Download and submit the completed claim form with all listed supporting documents to AXA or your Agent within 30 days from the date of incident, Upon receipt of full documents, AXA will revert with claim decision within 5 working days, Supporting documents:-1. You may also check your claim status here. Click to view our list of panel hospitals under MiCARE Healthcare Card, Click to view our list of panel hospitals under MediExpress Healthcare Card, Personal-Accident-DPP-&-Motorcyclist-PA-Claim-Form, Fire-All_Risks-Burglary-Householders-Houseowners-Claim-Form. To make a claim for repair or replacement of chipped, cracked or broken glass, complete this online booking form with Autoglass. Please note the above request is not intended to be all inclusive as the need for the additional information/documents may become necessary during the course of claims process. Copy of Hire Purchase Agreement6. Subject to KFK agreement on insured’s and third party’s motor policy conditions; Additional required documents for KFK Claims: 1. AXA France IARD S.A. and AXA France Vie S.A. both trading as 'AXA Partners – Credit & Lifestyle Protection', are authorised by Autorité de Contrôle Prudential et de Résolution (ACPR) in France and are regulated by the Central Bank of Ireland for conduct of business rules. Police Report5. The repairer will verify the documents and fix your windscreen. Tel: 1800 880 4888 (Within Singapore) / +65 6880 4888 (International) Call AXA Car claims. Our claims officer is reviewing your submission and will update your claim status in 14 working days' time. Turnaround time is subjected to receipt of all documentations required and the complexity of the claim. Certified True Copy of Deceased's NRIC4. For a policy complaint, please contact your local AXA branch; To make a complaint with regards to your claims, please contact our claims action line on 1890 24 7 365. Upon receipt of full documents, AXA will investigate and revert with claim decision within 2 months, Supporting documents:1. Contact and notify AXA immediately. AXA Affin General Insurance Berhad (23820-W) Ground Floor Wisma Boustead 71 Jalan Raja Chulan 50200 Kuala Lumpur (603) 2170 8282 (603) 2170 8498 healthservices@axa.com.my www.axa.com.my Kenyataan Tuntutan Download and fill up the claim form below. Medical Reports3. How much you can claim for AXA SmartHome Optimum (Enhanced) Home Property Total Amount Covered For Damages To The Building, Not Exceeding The Property Value. Should you need any assistance on this medical card in Malaysia, AXA AFFIN is contactable via WhatsApp at 017-641 8867. Wherever life takes you: we’ll be here if you need us. Submit all listed required documents to the repairer. File A Claim. Copy of police sketch plan & investigation result4. You may contact the panel repairer for repair status. It’s fast, simple and convenient! Upon receipt of full documents, panel repairer will submit your claim to AXA. Present in 57 countries, AXA's 160,000 employees and distributors are committed to serving our 108 million clients. Loss Adjusters will be appointed if necessary, Take all measures to minimise the loss and preserve the affected items for survey by loss adjusters, Render cooperation to the loss adjusters & submit the completed claim form with all the supporting documents to loss adjusters or AXA, Upon receipt of adjuster's final report and full documents, AXA will review and revert with claim decision within 7 working days. Certified True Copy of Death Certificate2. Please quote our reference number when corresponding with us. If you have any queries on claims process please call: Our representative will be in touch with you soon, Something went wrong with your submission. If another party is involved in your accident: Kindly provide the third party’s information in the claim form. Refer to us immediately all summons and correspondences in relation to the accident. 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