Claims Forms


All documents are in Portable Document Format(PDF). To access, you will need Adobe® Acrobat® Reader.
 

Initial Claims Notification
 
 Motor 
 Non-Motor 

 

Payment Forms
 
 Electronic Credit Payment 

 

Claims Forms
Motor
 Motor Accident / Loss Report 
 Windscreen 
Non-Motor
 Personal Accident 
 Travel 
 Biz Travel 
 Domestic Servant 
 Hospital & Surgical 
 Workmen's Compensation / Employer's Liability 
 Foreign Worker Compensation Scheme (FWCS) 
 Public Liability (Third Party) 
 Notice of Claim (Others) 


Other Forms
Motor
 JPJ K8 Form 
 JPJ K3 Form 
 JPJ-SAB01 Form 
 Lampiran 'A1' Form 
 Letter Of Undertaking 
 Director Resolution Draft 
 Subrogation Form 


 


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