Monday to Friday(8.30 a.m. to 5.30 p.m.)Excluding public holidays
All rights reserved. Copyright © 2024 MSIG Insurance (Malaysia) Bhd Registration No. 197901002705 (46983-W)
MSIG Insurance (Malaysia) Bhd Registration No. 197901002705 (46983-W) is a company licensed under the Financial Services Act 2013 and regulated by Bank Negara Malaysia.
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* Please note that this online claim application is only applicable for TIE user.
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Original travel period: From
Original travel period: To
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Date of purchase:
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To make a claim for Medical Expenses, please upload the following;
> Original medical receipts
> Original itemized bills
> Medical reports, Imaging reports (if available)
> Any other supporting documents (if applicable)
To make a claim for Luggage, please upload the following;
> Boarding Pass
> Original Travel Itinerary / E-ticket
> Property Irregularity Report from airlines for luggage damage/delay/loss by airlines
> Photos depicting the damage of the luggage
> A letter from Airlines confirming number of ours of delay or misdirection in delivery
> Delivery Note with date and time of delivery of luggage
> Repair quotation for luggage damage
> Detailed breakdown of items claimed
> Original purchase receipts/warranty card for items claimed
> Proof of compensation received from the airlines or other responsible party
To make a claim for Personal Effects, please upload the following;
> Photos depicting the damage of the personal effects
> Police report lodged for theft
To make a claim please upload the following;
> Airline confirmation on the duration of delay/misdirection
> A written confirmation from the airlines concerned confirming the duration of delay and its reason(s)
> Original receipts for payment of pre-paid attraction tickets
> Police report for loss/theft
> Original invoices and receipts for claims on expenses incurred on additional accommodation, travel and communication expenses, additional cost of car rental, deposit payment made
> Any other document proof from the relevant parties to support the respective claims made for the sections above
Drag your files here, or click to select files to upload
Select files to upload
* File size do not exceed 4mb. Documents format (PDF, JPG, PNG)
* Please retain original medical bills and receipts and submit the same upon request when the claim is approved and settlement of the claim is made.
Certificate/ Policy no.:
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Product name:
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Claimant name:
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NRIC or Passport (of Claimant):
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Mobile no.(of Claimant):
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Email (of Claimant):
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Incident date:
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Incident description:
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Claim category:
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Claim amount:
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Type of illness:
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Date:
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Time:
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Document / Photos:
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Travel itinerary:
Detail of damage:
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Model/Size/Brand:
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Purchase price:
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Type of personal effects:
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Item(s) condition:
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Date of purchase of item claimed:
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Purchase Price of items claimed:
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Detailed circumstances:
Type of claim:
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Travel delay 4 hours onwards and less than 10 hours:
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I declare that these particulars are true to the best of my knowledge and belief.
I hereby declare that any of my personal information collected or held by you herein is provided with my consent for it to be used, processed and disclosed to individuals or organizations related to or associated with MS & AD Insurance Group (in and outside of Malaysia) including inter-departments within MSIG or any selected third party service providers such as insurance and reinsurance companies, broking firms, loss adjusting companies, claims or forensic investigations companies, law firms, credit reference companies, any service provider appointed by governing authority/association/federation of insurance companies, association or federation of insurance companies or any corporate entities or governmental and judical bodies or regulators to whom MSIG is obliged to disclose under the requirement of any law relating to MSIG or any of its affiliates or partners.
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