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Umber Year of Manufacture Make & Model Name of Insured Section B - Particulars of Driver Name NRIC Number Address Occupation Contact Number Authorisation to drive vehicle by owner : YES / NO Section C - Particulars of Accident (please tick ( ) where applicable) Date of accident Time Place Nature of Damage ( ) Hit by stone while driving ( ) Hit by unknown object while driving ( ) Parked & found damage ( ) Vandalism ( ) Police Report attached ( ) Reversed & hit the pillar Other Description of.

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Medical Expenses/Ambulance Fees Claim: Documents Needed Claim Form completed by policyholder & the attending Doctor (mandatory) Original Bills & Receipt for medical expenses (mandatory) Police Report (applicable for Motor accident) (mandatory) Original Receipt for Ambulance fees (if applicable) (optional)

You may cancel your policy with a written instruction to us within 15 days after the policy has been received by you. We will then refund the premium received to you. However, if you surrender the policy after the 15 days, you will not be getting any surrender value.

You can withdraw from your account value at anytime, subject to a minimum one-time withdrawal of RM500, and a minimum account balance of RM1,000 at no extra charge.

Etiqa is the insurance arm of Maybank Group, which is among Asia's leading banking groups and South East Asia's fourth largest bank by assets.

Payment can be made via: .maybank2u.com.my. Payee Category: Insurance & Takaful. Payee's Name: Etiqa Life Insurance Berhad (ELIB) Please key in the correct policy number and the amount. MyAccount. Pay Online.

What are the types of policy or account supported by MyAccount? There are products that are not supported in MyAccount.. If you are unable to view your policy/certificate, you may contact Etiqa Oneline at 1-300-13-8888, contact your servicing agent or email to info@etiqa.com.my to request for support.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232