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Personal Accident Claims

The Pacific Insurance Berhad > Make A Claim > Personal Accident Claims
Personal Accident Claim

Personal Accident Claims

Notify the Company immediately for any event due to an accident may give rise to a claim. Complete and submit Claim Form together with the following documents:

  • For Non-Fatal Case
    • Medical report
    • Original Medical Bills and receipts
    • Copy of medical certificate (for temporary disablement claims)
  • For Fatal Case
    • Copy of Police Report
    • Certified True Copy of Death Certificate
    • Certified True Copy of Post Mortem Report
    • Burial Certificate
    • Letter of Administration / Letter of Probate

If you require any assistance or forms for the above, kindly contact your agent or our Claim Department at 03 2633 8999 or write to us at customerservice@pacificinsurance.com.my