Hong Leong MSIG Takaful

Death Claim Form

Supporting Documents

Medical Attendant’s Report on Dread Disease
Claimant’s NRIC (Both Sides)/Passport Copy
Original Certificate Document
Copy of Bank account statement or passbook for E-payment purpose

Note:
We reserve the right to request for additional documents which deemed necessary for the claim processing

Submit the complete required documents to us via:

Servicing Agent; or
Walk-in/Mail to our branches

Upon receipt of completed documents, claim will be processed within 14 working days

To check your claim status or enquiries,

Contact your agent, or

	03 7650 1800
	Reachus@takaful.hongleong.com.my

TPD Claim Form

Supporting Documents

Medical Attendant's Report on TPD
Claimant's NRIC (Both Sides)/Passport Copy
Employment termination letter (If employed)
Original Certificate Document
Copy of Bank account statement or passbook for E-payment purpose

Note:
We reserve the right to request for additional documents which deemed necessary for the claim processing

Submit the complete required documents to us via:

Servicing Agent; or
Walk-in/Mail to our branches

Upon receipt of completed documents, claim will be processed within 14 working days

To check your claim status or enquiries,

Contact your agent, or

	03 7650 1800
	Reachus@takaful.hongleong.com.my

CI Claim Form

Supporting Documents

Medical Attendant's Report on Dread Disease
Claimant’s NRIC (Both Sides)/Passport Copy
Original Certificate Document
Copy of Bank account statement or passbook for E-payment purpose

Note:
We reserve the right to request for additional documents which deemed necessary for the claim processing

Submit the complete required documents to us via:

Servicing Agent; or
Walk-in/Mail to our branches

Upon receipt of completed documents, claim will be processed within 14 working days

To check your claim status or enquiries,

Contact your agent, or

	03 7650 1800
	Reachus@takaful.hongleong.com.my

HB Claim Form

Supporting Documents

Discharge summary/Medical Attendant's Report on Hospitalisation Claim
Claimant's NRIC (Both Sides)/Passport Copy
Hospitalisation bill & receipt (Original copies required for reimbursement claim)
Copy of Bank account statement or passbook for E-payment purpose

Note:
We reserve the right to request for additional documents which deemed necessary for the claim processing

Submit the complete required documents to us via:

Servicing Agent; or
Walk-in/Mail to our branches

Upon receipt of completed documents, claim will be processed within 14 working days

To check your claim status or enquiries,

Contact your agent, or

	03 7650 1800
	Reachus@takaful.hongleong.com.my

H&S Claim Form

Supporting Documents

Discharge summary/Medical Attendant's Report on Hospitalisation Claim
Copy of laboratory test or imaging report (if any)
Claimant's NRIC (Both Sides)/Passport Copy
Original Hospitalisation Bill & Receipt
Itemised Bills/Detailed Bills
Copy of Bank account statement or passbook for E-payment purpose

Note:
We reserve the right to request for additional documents which deemed necessary for the claim processing

Submit the complete required documents to us via:

Servicing Agent; or
Walk-in/Mail to our branches

Upon receipt of completed documents, claim will be processed within 14 working days

To check your claim status or enquiries,

Contact your agent, or

	03 7650 1800
	Reachus@takaful.hongleong.com.my

AMR & WI Claim Form

Supporting Documents

Discharge summary/Medical Attendant's Report on Hospitalisation Claim (If Hospitalised)
Police Report (If any)
Medical Certificate (MC) endorsed by attending doctor with diagnosis, date and cause of accident
Claimant’s NRIC (Both Sides)/Passport Copy
Original Hospitalisation Bill & Receipt
Itemised Bills/Detailed Bills
Copy of Bank account statement or passbook for E-payment purpose

Note:
We reserve the right to request for additional documents which deemed necessary for the claim processing

Submit the complete required documents to us via:

Servicing Agent; or
Walk-in/Mail to our branches

Upon receipt of completed documents, claim will be processed within 14 working days

To check your claim status or enquiries,

Contact your agent, or

	03 7650 1800
	Reachus@takaful.hongleong.com.my

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