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All Risks Claim
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All Risks Claim
Burglary Claim
Contractors All Risks Claim
Electronic Equipment Claim
Employers Liability Claim
Fidelity Guarantee Claim
Fire Claim
Funeral Insurance Claim
Goods-in-Transit Claim
Glass Claim Form
Livestock Claim
Machinery Breakdown Claim
Money Claim
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Personal Accident Claim
Product Liability Claim
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All Risks Claim
Burglary Claim
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Death Claim Form
Death Claim Form
1
Personal Details
2
Deceased Personal Details
3
The Deceased Health Information
4
Doctors for the Deceased
Policy Number
Occupation
Full Name
Age
Tel. Number (Include country code at the beginning)
Phone Number (Include country code at the beginning)
Relationship
Mother
Father
Wife
Husband
Aunt
Uncle
Sister
Brother
Niece
Nephew
Granddaughter
Grandson
Son
Daughter
Address
What is the nature of tile under which you claim the amount, eg. as executor, or administrator or assignee or beneficiary? If you are claiming on behalf of a minor state the exact nature on his/her behalf.