Get Saf Form

Filling out the Saf Form online is a straightforward process that allows you to submit claims efficiently. This guide provides step-by-step instructions to ensure you complete the form accurately and comprehensively.

Follow the steps to fill out the Saf Form online

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin with Section 1, Claimant’s Statement. In Part A, provide the insured person’s information, including their name, NRIC or passport number, email address, marital status, contact number, date of birth, gender, occupation, and present address.
3. Describe the nature of the illness in the space provided. Be as detailed as possible, outlining symptoms and relevant medical history.
4. Indicate the date when the symptoms began and the date you first consulted a medical practitioner regarding your illness.
5. Provide the diagnosis and the date you were informed of it.
6. Answer whether you have suffered from or received treatment for a similar or related illness, and if so, furnish the details.
7. List any doctor(s) consulted in the past two years for any medical condition, including their names, addresses, and approximate consultation dates.
8. If applicable, provide details of any hospital treatment, including the names, addresses, admission periods, and relevant dates.
9. Name your regular doctor and provide their address.
10. Indicate if you are insured for similar benefits with another company. If yes, include the name of the insurer, the amount insured, and any amounts compensated.
11. Complete Part B, Declaration and Authorisation. If the insured person is under 21, ensure a parent or legal guardian signs this section.
12. Read and understand the consent regarding the collection, use, and disclosure of personal data as outlined in the form.
13. Upon completion, save your changes. You may then choose to download, print, or share the form as needed.

Complete your claim submission by filing the Saf Form online today.