❑ Personal Accident Insurance
❑ Workmen’s Compensation Insurance
❑ Healthcare Insurance

❑ Motor Vehicle Insurance
▪ Commercial Vehicle
▪ Private Vehicle
▪ Motorcycle

❑Property/Fire Insurance
❑ Property All Risks Insurance
❑Public Liability Insurance
❑Contractor’s All Risks Insurance

Information Required:

• Policy No.
• Insured Name
• Name of the Insured person (Patient)
• Time, date and place of accident
• Brief circumstances of accident
• Contact person and telephone no.

Documents Required:

• PA Claim form duly completed
• Police report (if any)
• ID Card/Employee ID card/
  Work permit
• Medical report/certificate, doctor’s prescription
• Lab test result/X-ray film/CT Scan Result/Echo result
• Original medical bills/receipts
• Proof of earnings, e.g. salary slip/employment contract
• Burial certificate/post mortem report, where applicable (in case of accidental death)
• Death certificate ( in case of accidental death)
• Other supporting documents reasonably required by us

Information Required:

• Policy No.
• Insured Name
• Name of the Insured person (Patient)
• Time, date and place of admission
• Brief circumstances of illness/
  diagnosis
• Contact person and telephone no.

Documents Required:

• HCI Claim form duly completed
• A copy of employee card/
  Cambodian ID card/family book
• A copy of Insurance membership card
• Medical Report/doctor’s
  certificate/doctor’s prescription
• Lab test result/X-ray film/CT Scan Result/Echo result
• Original Hospital Bills/Receipts
• Burial certificate/post mortem report, where applicable
  (in case of death)
• Death certificate ( in case of death)
• Other supporting documents reasonably required by us

• Policy no. of Insured
• Plate Number of Insured’s Vehicle and Third Party’s (if any)
• Time, date and place of accident
• Nature/Extent of damage
• Brief description of accident
• Contact number of Insured/Driver and Third Party’s (if any)

Own Damage / Theft

• MV claim form duly completed
• Certificate of Insurance
• Vehicle Registration Card
• Certificate of Motor Vehicle Technical Inspection
• ID card and Driver License of the Driver at the time of accident
• Police report (in case of Theft is a must)
• Vehicle’s Key (in case of Theft)
• Quotation for repair/
  replacement (if any)

Third Party Liability, Accident to Driver, Accident to Passenger

• Police report (if any)
• Quotation for repair/
  replacement (if any)
• Medical Report/Certificate,
  Medical Receipts/Invoices, Lab
  Test Report, of the Insured/
  Driver/Passengers (Applicable
  to Authorized Driver and
  Passenger Liability Benefit)
• ID/passport, family book, employment contract (in the case of the accidental death)
• An original or certified copy of the Death Certificate/Burial Certificate (in the case of the accidental death)
• Other supporting documents reasonably required by us

Information Required:

• Policy No.
• Insured Name
• Time, date and place of loss
• Brief description of the loss
• Description of items damaged and estimated loss amount
• Person to contact and telephone no.

Documents Required:

• Property Claim form duly completed
• Police report
• Fire brigade report
• Police report (in case of Theft is a must)
• Medical report/post mortem report (for fatal injury claim)
• Repair bills/quotation for property damage
• Consultant’s report on cause/nature/extent of damage
• Proof of expenses incurred by Third Party
• Particulars of claim from Third Party
• Other supporting documents reasonably required by us

Information Required:

• Policy No.
• Insured Name
• Time, date and place of loss
• Brief description of the loss
• Description of items lost / damaged and estimated loss amount
• Person to contact and telephone no.
• Prospect of recovery against the party at fault

Documents Required:

• Claim form duly completed
• Contract documents, including bill of quantities (BOQ) and scope of work
• List of parties to the contract, including principals, consultants, main contractor, sub-contractors agreement (where applicable), suppliers
• Schedule of work showing the stage of completion prior to damage with photographs
• Stock record, delivery orders, goods invoice/receipt, progress payment records (if any)
• Consultant’s / internal report on extent of damage and suggested scope of repairs
• Police report (in case of Theft is a must)
• Quotation for repairs or replacement
• Other supporting documents reasonably required by us

Information Required:

• Policy No.
• Insured Name
• Time, date and place of loss/
  accident
• Brief circumstances of loss/
  accident
• Any other party involved
• Contact person and telephone no.

Documents Required:

• PUL Claim form
• Any contract signed between Insured and Third Party
• Proof of ownership such as land title of landlord, tenancy agreement
• Repair/replacement bill / quotations of the affected items
• Photographs of the damage
• List of affected contents (contents claim)
• Technical inspection report (lightning claim)
• Meteorological report (windstorm claim)
• Other supporting documents reasonably required by us