If you have to submit a claim, whatever its nature, you have to complete the claim form you were given with your
Security Pass'port and your Insurance Card.
This document is very important, since without a completely filled out claim form, payments cannot be made.
Please attach all original invoices, receipts and bills related to your claim (photocopies, cash register receipts,
statements of account,bank or charge card statements are not accepted).
For medical claims, do not forget prescriptions and medication receipts from the pharmacy.
Send all of the above requirements within 2 weeks of date of the service or loss, together to the concerned office, as
per information listed on chapter/key '24-hour alarm center'.
Please be advised that in order to process your claim, the insurance company may request information it deems
necessary to honor your claim.
Whatever the benefit in filing a claim, you agree to release all information which the insurance company requires.
It is an obligation of the insured to let the Insurance Company, the Claims Office or the Emergency Center know of a
loss as soon as the insured himself is made aware of
that damage.
If this obligation is not fulfilled, the insured might be held liable if failure to observe this obligation has an
influence on the settlement of the claim.
If you need additional claim forms, please download or print this document from this page.(PDF format)
If you do not have Acrobat Reader TM, you can download it here
After printing the claim form, please note your policy number in the dedicated box at the top right on the front page.
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