1

Download and complete the claim form (Form 2)

2

Prepare all the supporting document(s)

3

Submit the original Form 2 and supporting document(s) directly to the Labor Department and provide a copy of all the document(s) to us

4

AXA will review and process your claim submission within 5 to 7 working days

5

Settlement letter and/ or email will be issued to you after approval

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.

  1. A copy of the completed Employees' Compensation Claim Form (Form 2). The original Form 2 should be submitted to the Labor Department directly.
  2. The original sick leave certificate(s)
  3. The original Certificate of Assessment (Form 7) (if applicable)
  4. The original Certificate of Review of Assessment (Form 9) (if applicable)
  5. The original medical expenses receipt(s) (if applicable)
  6. The original Certificate of Compensation Assessment (Form 5) or Agreement between Employer &   Employee duly approved by Labor Department
CLAIMS SUBMISSION
  1. Submit the original completed Employees' Compensation Claim Form (Form 2) and supporting document(s) (as applicable) directly to the Labor Department
  2. Submit copy of all the document(s) to us by post or email:
  • By email: Send the completed claim form(s) with all supporting document(s) to ec.claims@axa.com.hk
  • By post: Mail the completed claim form(s) with all supporting document(s) to 5/F, AXA Southside, 38 Wong Chuk Hang Road, Wong Chuk Hang, Hong Kong

Contact Information
Telephone: (852) 2523 3061
Email: axagi@axa.com.hk

Remarks:
If you disagree with our claim decision, you may submit an appeal to us within 90 days from the notice date of our Claim Settlement Advice or Notification of Claim Decision. Click here for details.