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. Completed Personal Accident Insurance Claim Form(s) with all details filled out
2. Copy of HK Identity Card of the Insured
3. Sick Leave Certificate (if applicable)
4. Police Report (if applicable)

Additional documents (if applicable):

For accident medical expenses & daily hospital cash claim if hospitalized in Hong Kong public hospital:

1. Medical receipts
2. Discharge Summary/Slip

For permanent disability claims:

1. Disability Assessment Report and other medical reports issued by a registered medical practitioner (for Permanent Disability claim)

For death claims:

1. Death Certificate (for Death claim)

For work related situation:

1. Copy of the work accident report form “Form 2” which has been submitted to Labour Department.
2. Copy of Certificate of Compensation Assessment (Form 5) and Certificate of Assessment (Form 7) issued by the Labour Department (if applicable).

CLAIMS SUBMISSION

By email*: Send the completed form(s) with all supporting documents to ec.claims@axa.com.hk