If you have any query on your claim, please reach us on: AXA Mandiri is committed to making your travel insurance claim process as … Please ensure the highlighted fields are filled in correctly. AXA Hong Kong, Download Library, Claim forms, Product Brochure Travel Insurance Claim Form. I hereby declare that all information, answers, and documents given in connection with this claim are true and correct to … Download all relevant forms & documents of Insurance, from HSBC product brochures, eWelcome packs, user guides, policy wording documents and more in our form center. Generally, the following applies: Based on the travel recommendations issued by the FDFA, AXA covers the cancellation costs of vacations in and travel to countries that are subject to travel restrictions/travel warnings 30 days prior to the start of your trip at the earliest. I understand that submission of a complete set of documents and information will enable my claims to be promptly evaluated. Emergency medical assistance from abroad. AXA INSURANCE PTE LTD Travel Claim Form Policy/ Certificate No. the merchant) is located in Hong Kong. If anyone insured under your travel policy has an illness, injury or accident and you need to make a claim for costs which you think will be over £300, you need to call our emergency medical helpline on +44 (0)1737 815 626.. Lines are open 24 hours a day, every day. Our claims officer is reviewing your submission and will update your claim status in 14 working days' time. Collect (312) 935.1719 Please review and ensure all details are accurate before you proceed. If for any reason, AXA requires further information to process your claim, we’ll notify you and then you can resubmit the information online to ensure the claim is processed as quickly as possible. Collect (312) 935.1719 AXA is committed to making claims clearer. At AXA, we understand that no-one wants to make a travel insurance claim. If you'd like to make a claim against your travel insurance policy, please fill in and submit an AXA Travel Insurance claims notification online. I, the claimant agree to abide by the terms & conditions. Date Sent: Claim Ref: AXA Assistance Claims PO BOX 3 Athlone Co Westmeath I have read and fully understand the declarations above. Submitting a claim. Our claims officer is reviewing your submission and will update your claim status in 14 working days' time. [Customer’s Data Privacy Consent] In connection with my/our and/or the claimant’s claims, I/We give consent for AXA Insurance Pte Ltd (“AXA”) and their respective representatives or agents to collect, use, store, transfer and/or disclose the information (including that provided by sources other than myself) concerning me/us and/or the claimant, to or with all such persons (including any member of the AXA Group or any third party service provider, and whether within or outside of Singapore and the Policyholder when claiming under a Group Policy) for the purpose of enabling AXA and their respective representatives or agents to provide me/us and/or the claimant (where applicable) with services required of an insurance provider, including the evaluating, processing, administering and/or managing my/our and/or the claimant’s claims or the Policyholder Group Policy(ies) with AXA (as the case may be), and for the purposes set out in AXA’s Data Use Statement which can be found at http://www.axa.com.sg (“Purposes”). French Company No: 722 057 460. Please note: Please include documentation from the travel agent/travel organizer and of unused services (e.g. Thank you for your online Travel Claim notification. Detailed description of the circumstances of the Claim. And we get that, that’s why we’re committed to making the claims experience clearer and easier for you. Whether you want to register your claim online quickly and efficiently, find the answer to your questions on our website, or speak to one of our expert advisors, we’re here. Please note: Examples of an incident are illness or accident during the vacation, strikes, an immediate return home due to an emergency at home. ¾ýÇéû‡»Å鏳«åj¶[®W§ïî?ìð§¯ÖëÝbóüyôâåyôûÓ'IœàãQ¥ð7+x´Y¥q‘Fï/Ÿ>a –D,i$²Xðèý-@|ý.‹®¶ÐZtEßróíë§O~™ü8ýGôþ›§O^A[}úä¤2‰Ó¼†—ЖšL3½Ÿÿ2y‡~áN„¿L¾ŸªÉl*'«é ã“ø´ÜLÅdMO8Ÿü. We paid over 94.2% of customers’ travel insurance claims in the last year *. AXA France IARD S.A. and AXA France Vie S.A. both trading as 'AXA Partners – Credit & Lifestyle Protection', are authorised by Autorité de Contrôle Prudential et de Résolution (ACPR) in France and are regulated by the Central Bank of Ireland for conduct of business rules. Review the claim form for supporting documentation required; Contact AXA Assistance USA for any policy and claim questions . ... Download & fill-out the Claim Form. If you have any questions on Group Life Claim, please do not hesitate to contact our customer service representatives at (852) 2519 1166 or email us by eb.claims@axa.com.hk for more … Email: axa.direct.gi@axa.com.hk Customer Service Hotline: (852) 2867 8688 Fax: (852) 3160 4241 Address: 5/F, AXA Southside, 38 Wong Chuk Hang Road, Wong Chuk Hang, Hong Kong. Please note: Total file size should not exceed 3MB. Send the necessary documents to any Metrobank branch, or file your application through your AXA Financial Advisor. AXA General Insurance Hong Kong Limited (i.e. Claim forms are made available for all your claim needs. Trip Delay / Cancellation Financial Emergency Others (Please note: The attending physician’s report in Part II along with discharge summary & FIR (in case of injury) are essential for claim under this section) Patient / Claimant Details: ... Smarttraveller-claim-form-new Author: Bharti-Axa Created Date: Travel Claim Form. Click Yes to continue or click No to return. We Provide innovative insurance solutions for both personal and business needs. AXA Affin General Insurance wishes to inform that trip cancellation claim and all benefits related to COVID-19 for travel policies purchased on and after 31st January 2020 (for China) and 12th March 2020 (worldwide except China) will not be covered. Please attach the relevant supporting documents with your claims submission to expedite claim processing. The claim form has to be stamped and signed by the treating practitioner and by you. Please find a claim form for completion enclosed. How to make a claim. I confirm that all statements, details and documents submitted are accurate. In addition, the following information is needed to process your claim. During your Policy Application, AXA may need additional information from you. 199903512M To expedite your claim, please (1) Complete this form, (2) Prepare the relevant documents listed on page three and four, and (3) Email TRAVEL & LOSS DETAILS Travel Period (DD MM YY) Thank you for your online Travel Claim notification. If yes, please provide: Please provide your bank details for us to accelerate your claims payment process by direct transfer to your bank account. default Policy details ... Reason for the fight cancellation/delay: Your answer. Please quote our reference number when corresponding with us. axa claim form a medical evacuation or fatal disease and staff member of units in respect of claims are ... cancellation form and the benefits are the offer you can sign up the vehicle or ulips are all required claim as an agent. Completed claim form Policy Verification If you have to make an insurance claim, it can be a very stressful time, especially when your life’s already busy. 1. AXA Trip Cancellation Claim Form & Claimant’s Statement Dear AXA Customer, Thank you for notifying AXA Assistance USA of your recent request to register a travel insurance claim. So at the time you need us most, we’ll be there to help you every step of the way. Theft / Loss claims: Police report / loss report lodged at the place of loss within 24 hours; Theft / Loss claims: A list of items stolen with the information on make/model, date of purchase and purchase price; Theft / Loss claims: Receipts for additional costs incurred in replacing lost travel document In certain circumstances, additional information may be required in order for further confirmation. [Authorization] I / We hereby consent to and authorize the medical practitioner involved in the claimant’s care to discuss and disclose treatment details and discharge arrangements with and to AXA Insurance Pte Ltd. I/We agree that a copy of this consent shall have the validity of the original. Please contact us to start the claim process and obtain a claim form: Toll Free (855) 327.1442. A. INSURED/ CLAIMANT DETAILS Full Name Mobile No. Please quote our reference number when corresponding with us. ... ex-employer(s) or elsewhere. Trip Delay / Cancellation Financial Emergency Others (Please note: The attending physician’s report in Part II along with discharge summary & FIR (in case of injury) are essential for claim under this section) Patient / Claimant Details: For any cancellation claims for overseas bookings, you should first ask your airline or travel provider to postpone your trip or arrange a refund. During this period you will receive our update on your claim within 21 working days. Please note that you may experience some delay during our peak season from July – August and from December – January. Our Travel Insurance is specifically designed for companies that want to offer valuable support for people whether travelling near or far from home.. Please note that you may experience some delay during our peak season from July – August and from December – January. We will update our guidance regularly, so please check it regularly to remain up to date. If you are one of policyholders in this list, do reach out to us via our Customer Care team.. Unpresented Cheques. We are looking for the following policyholders who have unclaimed maturity proceeds, but have not yet responded to our request to collect the proceeds. Emergency medical assistance: 0203 362 2451 ^ 24 hours a day: Non-emergency claims: 0330 400 1505 ^ (UK) 0203 362 2450 ^ (from outside UK) Mon - Fri 9am - 5pm ... Travel Insurance. AXA deems it relevant to provide updates on customer eligibility for trip cancellation claims, if they purchased Smart Traveller and booked their trips to: Mainland China before December 31, 2019 Hongkong and Macau before February 2, 2020 When AXA have received your details, the claims team will register your claim and be in touch with you throughout the process. AXA France IARD S.A. (Branch No: 624115. Cancellation and Replacement of Checks Form PDF 192.08 KB Below are forms that you can use. In … Existing claims. Claim forms are made available for all your claim needs. Your current browser version is no longer supported. Below is a list of minimum documentation required to process your claim. Thank you. Buy online now! We are looking for the following claimants who have yet to present their cheques. 1.9% * of our travel insurance policy holders needed to make a claim in the last year, with an average claim pay out of £855 *. Submitting a claim. By email: Send the completed claim form(s)m. with all supporting document(s) to travel.claims@axa.com.hk 24-hour Emergency Assistance Hotline Telephone: (852) 2861 9285 Please only upload files that end in types: .xls, .xlsx, .doc, .docx, .jgp,.gif, .png, .jpeg, .pdf, .txt AXA won’t engage in such activities otherwise. 8 Shenton Way #24-01 AXA Tower Singapore 068811 AXA Customer Centre #01-21/22 1800 880 4888 cst@axa.com.sg Co. Reg No. [Declaration] I/We confirm that I am/We are the claimant and/or the Policyholder and I/We declare that all the particulars given above are to the best of my/our knowledge true and correct. hotel reservations) with this claims notice. Please use alternative browsers to access this site. AXA Singapore is one of the world's leading insurance companies. Unclaimed Policies. I understand that I must provide evidence to AXA to prove my claim. Documents Required (Please tick against the documents you have submitted). Have you made a claim against any other party in respect of this event? As a general policy, our travel insurance policies are designed to protect you against the unexpected and not for cancellation cover for events that could reasonably be expected to cause a claim. Email Correspondence Address B. Review the claim form for supporting documentation required; Contact AXA Assistance USA for any policy and claim questions . 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