Supporting Documents


Motor | Non-Motor
 

Section A : Information Required
  • Third party’s and insured’s vehicle reg. nos.
  • Location of loss/ accident
  • Location of workshop
  • Nature of loss/accident
  • Contact nos. of insured and the driver
  • Date of loss/accident
  • Bank Account details
Section B : Documents Required

1) Own Damage (OD)
Insured is at fault/self accident (Forfeiture of NCB)
  • Completed claim form
  • Police report of the insured/driver
  • A copy of insured’s /driver’s NRIC and driving licence
  • A copy of RIMV card (Updated)
  • A copy of road tax disc
  • A copy of hire purchase agreement
  • Estimated costs of repairs
  • Third Party Vehicle Registration Number
  • Photographs of the scene of accident
  • Form B and D(sole-proprietor)/ Form 8 or 9,13,24 and 49(company)
  • Duly signed & completed Electronic Credit Payment (ECP) form
2) Revised Knock-For-Knock (OD-KFK)
Third party at fault (Non-forfeiture of NCB)
In addition to the required documents under OD, we need the following:
  • Police report of the third party
  • Police investigation results and sketch plan
  • Original JPJ search of third party vehicle particulars or name of third party insurer
  • A signed declaration letter from the insured
Note: OD KFK is inapplicable if the third party vehicle is a bus, taxi or any vehicle used for hire. Provided also that there is no personal injury claim involved.
3) Windscreen
Once the claim is made, the windscreen cover will expire. Reinstatement is needed for further cover. If the insured chooses to repair the windscreen, then the windscreen cover benefit shall continue until expiry without any additional premium and the sum insured shall be reduced by the cost of repair of the windscreen.
  • Claim form duly completed
  • Copy of Insured's/Driver's NRIC and Driving Licence
  • Photographs BEFORE repair/replacement showing the LOGO with CURRENT DATE imprinted on the photo (close-up and wide-angle shots)
  • Photographs AFTER repair/replacement showing the LOGO with CURRENT DATE imprinted on the photo (close-up and wide-angle shots)
  • Photograph of the vehicle Chassis Number/Engine Number with CURRENT DATE imprinted on the photo
  • Original Bill on repair/replacement showing the breakdown of parts, materials and labour
  • Police report if the windscreen is not sighted by Lonpac Staff
  • Duly signed & completed Electronic Credit Payment (ECP) form
*All damaged windscreen must be sighted by Lonpac staff

4) Theft
  • Completed claim form
  • Original police report
  • Copy of insured's /Driver’s NRIC and driving licence
  • Original RIMV card (Updated)
  • 2 copies of JPJ K3 form duly signed
  • Keys
  • Original policy and certificate of insurance
  • Memorandum of articles (If insured is a company)
  • Hire purchase release letter / agreement
  • Letter of indemnity (Lampiran A1)
  • JPJ TM-AB form duly signed and witnessed by a commissioner for oaths
  • Approved permit and custom papers if it is an imported vehicle
  • Form B and D(sole-proprietor)/ Form 8 or 9,13,24 and 49(company)
  • Letter signed by all partners(partnership)/Board Resolution (company) which authorised the appointed person to transfer ownership of the vehicle
  • Duly signed & completed Electronic Credit Payment (ECP) form
5) Knock-For-Knock (Notification)
  • Completed claim form
  • Police report of the insured and/or driver
  • A copy of insured’s NRIC and driving licence
  • A copy of driver’s NRIC and driving licence
  • A copy of RIMV card (Updated)
  • A copy of road tax disc
  • A copy of hire purchase agreement
  • Letter of claim to third party insurer
6) Third Party Bodily Injuries (Notification)
  • Original claim form duly completed
  • Police report of the insured and/or driver
  • A copy of insured’s NRIC and driving licence
  • A copy of driver’s NRIC and driving licence
  • A copy of RIMV card (Updated)
  • A copy of the road tax disc
  • Any summons/letter received from third party solicitor
7) Property Damage Claim By Third Party (TPPD)
Documents to be submitted by insured to us:
  • Insured’s completed claim form.
  • Insured’s and/or driver’s police report
  • Copy of insured’s NRIC and driving licence
  • Copy of driver’s NRIC and driving licence
  • Copy of RIMV card (Updated)
  • A copy of road tax disc
  • A copy of hire purchase agreement
Documents to be submitted by third party to us:
  • Third party claimant’s RIMV card.
  • Third party claimant’s road tax disc
  • Third party claimant’s policy schedule
  • Third party claimant’s and/or driver’s identity card and driver’s license
  • Police reports of the parties involved
  • Police investigation result and sketch plan
  • Third party claimant’s original adjuster’s report
  • Original adjuster fees receipt
  • Original bill and receipt for excess paid (e.g., loss of use, etc)
  • Original receipt for repairs and any documentation fees
  • Statutory declaration, if the opposite party’s police report is unavailable
  • Duly signed & completed Electronic Credit Payment (ECP) form

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