Malaysia-EA

Step

Upload Your Supporting Documents

Please provide documents

Scheduled flight/travel itinerary

I do not have the Scheduled flight/travel itinerary on hand right now but I acknowledge that this document is required for processing my claim, and I will provide them promptly by replying to the acknowledgment email after submitting my claim.

Medical bills in Singapore

I do not have the Medical bills on hand right now but I acknowledge that this document is required for processing my claim, and I will provide them promptly by replying to the acknowledgment email after submitting my claim.

Medical bills Overseas

I do not have the Medical bills Overseas on hand right now but I acknowledge that this document is required for processing my claim, and I will provide them promptly by replying to the acknowledgment email after submitting my claim.

Medical report

I do not have the Medical report on hand right now but I acknowledge that this document is required for processing my claim, and I will provide them promptly by replying to the acknowledgment email after submitting my claim.

Discharge summary

I do not have the Discharge summary on hand right now but I acknowledge that this document is required for processing my claim, and I will provide them promptly by replying to the acknowledgment email after submitting my claim.

Other expense receipts

I do not have the Other expense receipts on hand right now but I acknowledge that this document is required for processing my claim, and I will provide them promptly by replying to the acknowledgment email after submitting my claim.

Please provide documents

Scheduled flight/travel itinerary

Positive COVID-19 test

I do not have the Positive COVID-19 test on hand right now but I acknowledge that this document is required for processing my claim, and I will provide them promptly by replying to the acknowledgment email after submitting my claim.

Medical invoices & receipts

I do not have the Medical invoices & receipts on hand right now but I acknowledge that this document is required for processing my claim, and I will provide them promptly by replying to the acknowledgment email after submitting my claim.

Discharge summary

Hospital bill

I do not have the Hospital bill on hand right now but I acknowledge that this document is required for processing my claim, and I will provide them promptly by replying to the acknowledgment email after submitting my claim.

Quarantine order

I do not have the Quarantine order on hand right now but I acknowledge that this document is required for processing my claim, and I will provide them promptly by replying to the acknowledgment email after submitting my claim.

Please provide documents

Scheduled flight/travel itinerary

Actual flight/travel itinerary

I do not have the Actual flight/travel itinerary on hand right now but I acknowledge that this document is required for processing my claim, and I will provide them promptly by replying to the acknowledgment email after submitting my claim.

Flight delay report

I do not have the Flight delay report on hand right now but I acknowledge that this document is required for processing my claim, and I will provide them promptly by replying to the acknowledgment email after submitting my claim.

Please provide documents

Scheduled flight/travel itinerary

Property Irregularity Report

I do not have the Property Irregularity Report on hand right now but I acknowledge that this document is required for processing my claim, and I will provide them promptly by replying to the acknowledgment email after submitting my claim.

Luggage delivery receipt or letter

I do not have the Luggage delivery receipt or letter on hand right now but I acknowledge that this document is required for processing my claim, and I will provide them promptly by replying to the acknowledgment email after submitting my claim.

Please provide documents

Flight/travel itinerary of your actual first flight

I do not have the Flight/travel itinerary of your actual first flight on hand right now but I acknowledge that this document is required for processing my claim, and I will provide them promptly by replying to the acknowledgment email after submitting my claim.

Flight/travel itinerary of your actual connecting flight

I do not have the Flight/travel itinerary of your actual connecting flight on hand right now but I acknowledge that this document is required for processing my claim, and I will provide them promptly by replying to the acknowledgment email after submitting my claim.

Note from your carrier

I do not have the Note from your carrier on hand right now but I acknowledge that this document is required for processing my claim, and I will provide them promptly by replying to the acknowledgment email after submitting my claim.

Please provide documents

Scheduled flight/travel itinerary

Actual flight/travel itinerary

Note from your carrier

I do not have the Note from carrier on hand right now but I acknowledge that this document is required for processing my claim, and I will provide them promptly by replying to the acknowledgment email after submitting my claim.

Please provide documents

Scheduled flight/travel itinerary

Actual flight/travel itinerary

Note from your carrier

Please provide documents

Scheduled flight/travel itinerary

Police Report

I do not have the Police Report on hand right now but I acknowledge that this document is required for processing my claim, and I will provide them promptly by replying to the acknowledgment email after submitting my claim.

Purchase and expense receipts

I do not have the Purchase and expense receipts on hand right now but I acknowledge that this document is required for processing my claim, and I will provide them promptly by replying to the acknowledgment email after submitting my claim.

Proof of possession of the amount loss

I do not have the Proof of possession of the amount loss on hand right now but I acknowledge that this document is required for processing my claim, and I will provide them promptly by replying to the acknowledgment email after submitting my claim.

Property Irregularity Report

Lost items reported

I do not have the Lost items reported on hand right now but I acknowledge that this document is required for processing my claim, and I will provide them promptly by replying to the acknowledgment email after submitting my claim.

Airline compensation

I do not have the Airline compensation on hand right now but I acknowledge that this document is required for processing my claim, and I will provide them promptly by replying to the acknowledgment email after submitting my claim.

Please provide documents

Scheduled flight/travel itinerary

Please provide documents

Scheduled flight/travel itinerary

Please provide documents

Scheduled flight/travel itinerary

Please provide documents

Scheduled flight/travel itinerary

Reason of cancellation

I do not have the Reason of cancellation on hand right now but I acknowledge that this document is required for processing my claim, and I will provide them promptly by replying to the acknowledgment email after submitting my claim.

Expense receipts

I do not have the Expense receipts on hand right now but I acknowledge that this document is required for processing my claim, and I will provide them promptly by replying to the acknowledgment email after submitting my claim.

Refund Information

I do not have the Refund Information on hand right now but I acknowledge that this document is required for processing my claim, and I will provide them promptly by replying to the acknowledgment email after submitting my claim.

Positive COVID-19 test

Quarantine order

Please provide documents

Scheduled flight/travel itinerary

Reason for cancellation

I do not have the Reason for cancellation on hand right now but I acknowledge that this document is required for processing my claim, and I will provide them promptly by replying to the acknowledgment email after submitting my claim.

Expense receipts

Refund Information

Positive COVID-19 test

Quarantine order

Please provide documents

Scheduled flight/travel itinerary

Reason for cancellation

Expense receipts

Refund Information

Positive COVID-19 test

Quarantine order

Please provide documents

Scheduled flight/travel itinerary

Reason for cancellation

Expense receipts

Refund Information

Positive COVID-19 test

Quarantine order

Please provide documents

Scheduled flight/travel itinerary

Payee info

Step

Supporting details

Providing these information would help us get you a faster outcome and payout.

Which credit card did you use to pay for your flights?

I didn't pay with a credit card

Card name:

Cardholder name:

Please provide Charlotte Rose Williams’s personal medical/accident insurance information

I don't have personal insurance

Insurer:

Plan name:

Please provide Charlotte Rose Williams’s corporate medical insurance information

I don't have employee insurance benefits

Company name:

Insurer:

Plan name:

Personal Data

In addition to the declaration and authorisation provided above, I/we agree and consent to the Company, its related corporations (collectively, the "Companies", as well as their respective representatives and agents collecting, using, disclosing and sharing amongst themselves my/our personal data, and disclosing such personal data to the Companies' authorised service providers and relevant third parties for purposes reasonably required by the Companies to evaluate, admit, process and/or administer my/our claims.

I have read and accept this

Step

Review Your Submission

Policy details

Claimant Details

Accident Details

Claim type:

Medical Expenses whilst Overseas

Total claim amount:

RMXXX

Description of accident:

I was injured in a motorbike accident when I was in collision with a child who came off the pavement on a skateboard directly in front of me.

When did it happen?

18/02/2022

Bill 1

Name of service provider:

Service provider

Date incurred:

6 June - 17 June 2023

Currency:

Amount:

XXX

Supporting docs

Personal Data

I have read and accept this

Policy information

Let's begin

Claimant information

Claimant Details

Trip Details

Accident Details

Claim type

Accident Details

I fell sick or was injured

I was treated for COVID-19 overseas

My flight was delayed

My baggage was delayed

I missed my connecting flight

My flight was overbooked

There was a flight diversion

I lost something

Sport equipment

Hijack

Common Carrier Delay

My trip was cut short

My trip was disrupted

I Had To Cancel My Trip

I had to postpone my trip due to COVID-19

None of the above

Upload Your Supporting Documents

Please provide documents

Scheduled flight/travel itinerary

Medical bills in Singapore

Medical bills Overseas

Medical report

Discharge summary

Other expense receipts

Please provide documents

Scheduled flight/travel itinerary

Positive COVID-19 test

Medical invoices & receipts

Discharge summary

Hospital bill

Quarantine order

Please provide documents

Scheduled flight/travel itinerary

Actual flight/travel itinerary

Flight delay report

Please provide documents

Scheduled flight/travel itinerary

Property Irregularity Report

Luggage delivery receipt or letter

Please provide documents

Flight/travel itinerary of your actual first flight

Flight/travel itinerary of your actual connecting flight

Note from your carrier

Please provide documents

Scheduled flight/travel itinerary

Actual flight/travel itinerary

Note from your carrier

Please provide documents

Scheduled flight/travel itinerary

Actual flight/travel itinerary

Note from your carrier

Please provide documents

Scheduled flight/travel itinerary

Police Report

Purchase and expense receipts

Proof of possession of the amount loss

Property Irregularity Report

Lost items reported

Airline compensation

Please provide documents

Scheduled flight/travel itinerary

Other documents to support your claim

Please provide documents

Scheduled flight/travel itinerary

Other documents to support your claim

Please provide documents

Scheduled flight/travel itinerary

Other documents to support your claim

Please provide documents

Scheduled flight/travel itinerary

Reason of cancellation

Expense receipts