Death Claim  □ Policy Contract □ Indemnity for Lost policy (to be presented if policy contract is lost) □ Claimant Statement (Death Claim) □ Claim Discharge Form (to be signed by the beneficiary (ies)/ trustee(s)/ Executor(s) and signature(s) witnessed as instructed on the form) □ Certificate of Death showing Cause

Living Benefits Claims  □ Written account of the accident □ Policy Contract □ Indemnity for Lost policy (to be presented if policy contract is lost) □ Claimant Statement (Disability/Critical Illness Benefit) □ Attending Physician’s Statement of Disability/Critical Illness □ Proof of Age (Birth Certificate/ Passport) □ Police Report (where accident