Non-life Claim

Type of Non-Life Claim *

Policy Number *

I am submitting this claim as the insured *YesNo

First Name *

Middle Name *

Last Name *

Suffix: *

Email Address *

Phone *

Incident Date *

Motor Car Claim

Select type of ClaimOwn Damage and Acts of Nature ClaimThird Party Liability - Property Damage ClaimThird Party Liability - Bodily Injury Claim

Own Damage and Acts of Nature Claim

Requirements:

1.) Police report or a notarized affidavit about the accident.
2.) Photocopy of the Certificate of Registration with the Official Receipt.
3.) Photocopy of the driver´s license with the Official Receipt.
4.) Pictures of the damaged portion(s) of the insured unit, with at least one showing the plate number.
5.) Repair estimate.
6.) Policy Number (ensure that the policy is paid).

Upload the copies of your documents (please take note that you must also submit the complete original copies of the requirements before we can transfer the payment to your account.) *

Upload (multiple files - up to 6 files, 2MB each)

Third Party Liability - Property Damage Claim

Requirements:

1.) Police report.
2.) Photocopy of the Certificate of Registration with the Official Receipt (both parties).
3.) Photocopy of the driver´s license with the Official Receipt (both parties).
4.) Pictures of the other vehicle (or property) showing the car's plate number and the damaged portion(s).
5.) Repair estimate.
6.) Policy Number (ensure that the policy is paid).

Upload the copies of your documents (please take note that you must also submit the complete original copies of the requirements before we can transfer the payment to your account.) *

Upload (multiple files - up to 6 files, 2MB each)

Third Party Liability - Bodily Injury Claim

Requirements:

1.) Police report.
2.) Original copies of the official receipt covering hospital bills, medicines and/or supplies.
3.) Certified true copy of birth certificate is required if the victim is a minor or proof of relationship of claimant to the victim.
4.) Pictures related to the accident or damages.
5.) Photocopy of the Certificate of Registration with the Official Receipt.
6.) Photocopy of the Driver´s license with the Official Receipt.
7.) Original copy of the medical certificate, death certificate, or autopsy report (if applicable).
8.) Policy Number (ensure that the policy is paid).

Upload the copies of your documents (please take note that you must also submit the complete original copies of the requirements before we can transfer the payment to your account.) *

Upload (multiple files - up to 8 files, 2MB each)

Property Fire Insurance Claim

Please enclose legible copies of the following documents:Policy NumberPictures of the damaged propertiesA detailed inventory of the damaged insured property, including valuation for repair or replacement and an estimated salvage valuePlease provide an incident report outlining the circumstances surrounding the loss, including any available witness names, the location and ownership details of the insured property, and the year of construction along with the original construction or building costArson Investigation Report or Fire CertificationPAG-ASA Report (for lightning, typhoon, and other weather disturbance losses)Other documents that may be required by the adjuster upon inspection

Upload the copies of your documents (please take note that you must also submit the complete original copies of the requirements before we can transfer the payment to your account.) *

Upload (multiple files - up to 6 files, 2MB each)

Travel Insurance Claim

Basic Claim Requirements:

Policy Number.
Photocopy of passport with pages showing dates of departure and arrival corresponding with the itinerary on the policy contract.
Flight itinerary, both original and revised flight details if applicable.

Upload Your Basic Documents here: *

Upload (multiple files - up to 3 files, 2MB each)

Medical and Emergency Benefit (Inpatient):

1.) Medical certificate specifying the diagnosis.
2.) Original Official Receipts.
3.) Statement of Account (itemized).
4.) Medical abstract / discharge summary.
5.) Laboratory and / or diagnostic request and result.
6.) Operative record, if with surgery.
7.) Police report, if due to accident.

Upload Your Medical and Emergency Benefit (Inpatient) Documents here: *

Upload (multiple files - up to 7 files, 2MB each)

Medical Emergency Benefit (Outpatient):

1.) Medical Certificate Specifying the Diagnosis.
2.) Original Official Receipts.
3.) Statement of Account (itemized).
4.) Medical abstract / discharge summary.
5.) Laboratory and / or diagnostic request and result.
6.) Operative record, if with surgery.
7.) Police report, if due to accident.

Upload Your Medical and Emergency Benefit (Outpatient) Documents here: *

Upload (multiple files - up to 7 files, 2MB each)

Personal Accident:

1.) Medical certificate.
2.) Full medical report.
3.) Death Certificate.
4.) Police Report.

Upload Your Personal Accident Documents here: *

Upload (multiple files - up to 4 files, 2MB each)

Baggage Loss or Damage:

1.) Airline report / Incident report.
2.) Police report, for Lost/Stolen Baggage.
3.) List of items Lost/Stolen/Damaged.
4.) Original Official Receipts for Purchase of Loss/Damaged Bag/Items in the bag.
5.) Affidavit of Lost Receipt (if no O.R.)

Upload Your Baggage Loss or Damage Documents here: *

Upload (multiple files - up to 5 files, 2MB each)

Baggage Delay Benefit:

1.) Airline report / incident report.
2.) Original Acknowledgement Receipt / Form stating the Exact Date and Time Baggage was Retrieved.

Upload Your Baggage Delay Benefit Documents here: *

Upload (multiple files - up to 2 files, 2MB each)

Strikes and Hijack Benefit:

1.) Airline report / incident report.
2.) Public documents that report the incident.

Upload Your Strikes and Hijack Benefit Documents here: *

Upload (multiple files - up to 2 files, 2MB each)

Hospital Income Benefit:

1.) Itemized/Detailed Statement of Account.
2.) Discharge Summary / Medical Abstract.

Upload Your Hospital Income Benefit Documents here: *

Upload (multiple files - up to 2 files, 2MB each)

Funeral and Burial Expense:

1.) Death Certificate.
2.) Original Official Receipts of Funeral and Burial Expenses.

Upload Your Funeral and Burial Expense Documents here: *

Upload (multiple files - up to 2 files, 2MB each)

Personal Liability Benefit:

1.) Original Official Receipts incurred for such liability.
2.) Itemized/Detailed Statement of account.
3.) Clinical Abstract/Medical Certificate.
4.) Death Certificate and Corner’s Report.
5.) Police Report.

Upload Your Personal Liability Benefit Documents here: *

Upload (multiple files - up to 5 files, 2MB each)

Loss of Travel Documents Benefit:

1.) Original Itinerary.
2.) Copy of the replacement passport / Travel Tickets.
3.) Police Report.
4.) Original Receipts on the expenses incurred for the replacement of passport / Travel Tickets.

Upload Your Loss of Travel Documents Benefit Documents here: *

Upload (multiple files - up to 4 files, 2MB each)

Trip Cancellation:

1.) Proof of advance payment made for travel and accommodation expenses.
2.) Penalties and other irrecoverable pre-paid charges related to the trip.
3.) Legal documents proving trip cancellation with specified non-refundable portion.
4.) Copy of the following documents:

- Death Certificate, in case of death by insured or direct members of the family.
- Full doctor’s report on the emergency of insure or direct members of the family.
- Original physician’s declaration of patient unfit to travel.
- In case of medical treatment or death of insured’s immediate family: proof of relationship with the immediate family member (birth certificate, marriage certificate, etc.).
- Public documents I.e. newspaper, news portal, etc. or official advisory that report: natural catastrophes, outbreak of strike or riot, or acts of terrorism.
- Original irregularity report issued by airline / carrier / airport stating reason of cancellation.

Upload Your Trip Cancellation Documents here: *

Upload (multiple files - up to 9 files, 2MB each)

Flight Delay:

1.) Original irregularity report issued by airline/ carrier / airport stating reason of delay.
2.) Boarding pass.
3.) Original Official Receipts for expenses during delay.

Upload Your Flight Delay Documents here: *

Upload (multiple files - up to 3 files, 2MB each)

Missed Connecting Flight:

1.) Original irregularity report issued by airline/ carrier / airport stating reason of cancellation.
2.) Boarding passes (Actual and revised).

Upload Your Missed Connecting Flight Documents here: *

Upload (multiple files - up to 2 files, 2MB each)

Other's Claim

Policy Number *

Date of Loss/Accident

Nature of Loss

Brief Summary of the accident

Copy of valid government ID *

Upload (multiple files - up to 6 files, 2MB each)