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Get Apa Claim Form

(The Company) does not admit liability by the mere issue of this Form. 2. Please complete and answer all questions in full and tick in the appropriate boxes provided. Please indicate "N.A.", if the question is not applicable in your case. 3. Please submit the Claim Form and all claim documents (see below) within 30 days from the date of discharge from hospital or date of surgery. 4. Please submit only original final summarised and itemised bills and receipts. Photocopies of bills/receipts are N.

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