Get Claimants Statement Form - Aiico Insurance Plc

Filling out the Claimant's Statement Form for AIICO Insurance PLC is an essential step for individuals seeking compensation for an accident or disability. This guide provides step-by-step instructions to help users complete the form accurately and efficiently online.

Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin with Part A, where you must fully complete all personal information requested, including your name, present address, and the date of the accident or illness.
3. Provide details of any hospitalization, including dates and the name of the hospital if confined there.
4. Indicate if you were confined to bed or home, specifying which and from what date.
5. If not confined, describe how you spend your time during your recovery.
6. Proceed to Part B if you are filing for an accident claim. Answer questions regarding total and partial disability duration and your attendance at your place of business during the disability.
7. List any duties you were unable to perform if claiming partial disability, and detail the time frames for these periods.
8. Answer whether your disability has ended and if this represents your complete claim. Also, disclose any other benefits you may be entitled to and their respective amounts.
9. In Part C, if claiming a waiver of premium, fully describe your current condition and indicate to what extent you are unable to work.
10. Once all sections are filled out accurately, review the form for completeness and correctness before saving changes, downloading, printing, or sharing the form as needed.

Complete your documents online today for a smoother claim process.