CLAIMS FORM(S)

SUPPORTING DOCUMENT(S) CHECKLIST

Please keep the original receipt(s) and other claim documentation for 6 months from the claim completion date. AXA reserves the right to request additional information/documentation to support each claim.

Basic documents:

1. Critical Illness/Disability/Accident Claim Form I and Critical Illness Claim Form II
2. Copy of ID or passport of the Insured/Policy Owner (if not provided before)
3. Copy of Laboratory/X-ray/CT Scan/MRI report/Pathology report
4. Copy of China hospital discharge summary, admission record and front page (no need to submit Claim Form II in the case of hospitalization in China)

Additional documents (if applicable):

1. IRS Form W-8 (for non-US entity/trust)/IRS Form W-9 (for US entity/trust)
2. Supplement with Tax Residency Self-Certification for Non-Individual (For Claims) 

CLAIMS SUBMISSION

1. Through Emma by AXA: Fill-in the form(s) and upload the supporting document(s) in Emma by AXA.
2. By post: Mail the completed claim form(s) with all supporting document(s) to the mailing address listed on the claim form.
3. Through Financial consultant assistance: Submit the completed claim form(s) with all supporting document(s) to your financial consultant.