Personal Accident Insurance Claim

Read these important notes before you begin

All sections of our forms must be duly completed to avoid unnecessary delay. Indicate as “N.A.” if not applicable.
Where softcopies are submitted to us, please retain the original document for at least 6 months as we may request to sight the original copy.
Any fees for completion of the Doctor’s Statement and/or medical evidence shall be borne by the claimant(s).
All overseas documents must be certified by a Notary Public of the country where documents are produced.
All documents must be in English. Any documents which are in foreign languages must be officially translated to English by a certified translator.

Mode of Payment

For a better payment experience, Individual Life (i.e. non-Corporate or General Insurance policies) SGD payments to the Assured (Policyholder) will be credited to the bank account linked to the Assured (Policyholder)’s PayNow-NRIC/FIN. Please check that you have registered for PayNow with your bank, using your NRIC/FIN.

Download claim forms

Forms to be completed by the Life Assured

Personal Accident Claim – Claimant's Statement

Personal Accident Continuity Claim – Claimant’s Statement

Declaration of Beneficial Owner Form

Doctor's Statement to be completed by the attending doctor

Personal Accident Claim – Doctor's Statement

Prepare the necessary documents for your claim

For new claims (i.e. first claim for an accident):

Personal Accident Claim – Claimant’s Statement to be completed by Assured (Policyholder)
Personal Accident Claim – Doctor’s Statement (to be completed by the attending doctor)
Copy of the Inpatient Discharge Summary
Copy of any diagnostic reports, radiology, X-ray reports, laboratory evidence and any relevant hospital reports
Copy of all medical leave certificates by the Life Assured/Insured Person’s employer
Copy of final hospital/ medical invoices and receipts (Interim invoices are not acceptable)
Copy of claim settlement letter if there was a reimbursement of medical expenses from other insurance policies (if any)
Copy of MediSave Transaction Statement or Healthcare Payments and Claims Statement from CPF Board if there was payment using MediSave or MediShield Life (if any)
Toxicology report (if any)
Newspaper clipping (if any)
Police report including any investigation notes
Copy of the Identity Card or Passport of the Life Assured/Insured Person
Any other documents that support the claim (e.g. official certificate of appointment of the legal guardian of Life Assured/Insured Person who is a minor)

In addition, for claims under the Mobility Aid and Home Modifications:

Copy of tax invoices and receipts for the cost incurred
Doctor’s written recommendation and prescription for purchase of mobility aid and/or home modifications

For continuity claims (i.e. further submission to a previous claim):

Personal Accident Continuity Claim – Claimant’s Statement to be completed by Assured (Policyholder)
Personal Accident Claim – Doctor’s Statement (to be completed by the attending doctor)
Copy of the Inpatient Discharge Summary
Copy of any diagnostic reports, radiology, X-ray reports, laboratory evidence and any relevant hospital reports
Copy of all medical leave certificates by the Life Assured/Insured Person's employer
Copy of final hospital / medical invoices and receipts (Interim invoices are not acceptable)
Copy of claim settlement letter if there was a reimbursement of medical expenses from another insurance policies (if any)
Copy of MediSave Transaction Statement or Healthcare Payments and Claims Statement from CPF Board if there was payment using MediSave or MediShield Life (if any)