Get Self-certification Form - Expatriate Insurance Services

This guide provides a step-by-step approach to completing the Self-Certification Form for Expatriate Insurance Services online. By following these instructions, users can ensure that all required information is accurately provided, facilitating a smooth claims process.

Follow the steps to complete your Self-Certification Form effectively.

1. Click the ‘Get Form’ button to access the Self-Certification Form. This will allow you to open the form in an online editor where you can fill it out easily.
2. Complete all sections of the form using block capitals. Begin by filling in the policyholder’s and patient’s details, ensuring to include the policy/customer number, names, addresses, and contact information accurately.
3. Proceed to the payment details section. Indicate the currency for the claim payment and provide your bank account details, including the bank name, account number, IBAN, and SWIFT code. Make sure to double-check these details to avoid payment errors.
4. In the verification of accounts section, attach all relevant invoices, proof of payments, and any medical certificates related to your claim. It is essential to provide complete documentation to avoid delays in processing your claim.
5. Enter the claim details honestly. Provide accurate information regarding any previous treatments related to the current claim and provide full details on the symptoms and condition, including how the condition began.
6. Complete the additional information section. If you are claiming for in-patient treatment received without charge, ensure to include the admission and discharge dates along with a certificate from the hospital, if needed.
7. Sign and date the declaration and consent section. Confirm that all information you provided is true and accurate and consent to AXA PPP International obtaining necessary medical information.
8. Review the checklist provided at the end of the form to ensure every section has been completed and that all necessary documentation is attached. This is critical to avoid any processing delays.
9. Once you have filled out the form completely, you can save your changes, download a copy for your records, print the form, or share it as needed.

Ensure a smooth claims process by completing your Self-Certification Form online today.