Get Borang Vibraltar Form

This guide provides step-by-step instructions on how to fill out the Borang Vibraltar Form online. The Borang Vibraltar Form is essential for submitting a critical illness claim and understanding its components will help streamline the process.

Follow the steps to complete your Borang Vibraltar Form online.

1. Click ‘Get Form’ button to access the Borang Vibraltar Form and open it in your preferred online document editor.
2. Begin by filling out the Life Assured Details section. Provide the policy number, the name of the individual insured, their identification number, correspondence address, and contact number. Additionally, indicate if the individual is GST registered and specify the registration number and date if applicable.
3. In the Nature of Claim and Related Details section, name the critical illness being claimed and describe the related symptoms. Fill in the date of onset and duration of these symptoms with exact dates if possible. Also, provide the names and addresses of the doctors consulted regarding this illness.
4. Complete the Record of Medical Consultation/Hospitalization section. List any other doctors or specialists consulted and include details of any hospitalizations related to the illness. Provide the hospital addresses and reasons for consultation.
5. In the Reasons for Consultation section, detail any other illnesses or complaints that occurred prior to this critical illness.
6. Fill out the Occupation Information section. Document the occupation, exact duties, and the name and address of the employer prior to the illness. Include both current employment status and information for e-payment, such as bank account details.
7. Review the Declaration & Authorization section. Provide your name, identification number, and consent for the company to hold and disclose personal information as necessary for processing the claim.
8. Finally, sign the form and ensure that a witness also signs where required. Specify the date of signing and ensure all details are correct.
9. After completing the form, save your changes, and consider downloading, printing, or sharing the form as necessary.

Ensure that all documents are complete and submit your Borang Vibraltar Form online to expedite your claim process.