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CLAIM PROCEDURE

CLAIM DOCUMENT :

    • ASURANSI KECELAKAAN DIRI PENGEMUDI (AKDP)

      Death :

      1. Original and copy of AKDP Card
      2. Original and copy of ID card/ driving license
      3. Completed Loss Report(Form: 008) andsigned bythe insuredor their heirs
      4. Certificate of Traffic(Surat Keterangan Lalu Lintas/Form: 009) from the authorities(police, district head, village chief/headman) stating thatthe insured becomes victim of an accident while driving a vehicle
      5. Copy of Family Card(KK)
      6. Original or legalized copy of Death Certificate from Hospital/Government Agencies
      7. Certificate of Heirs
      8. Copy of beneficiary’s ID card

      Permanent Disability Due To Accident :

      1. Original and copy of AKDP Card
      2. Original and copy of ID card/ driving license
      3. Completed Loss Report(Form: 008) and signed by the insuredor their heirs
      4. Certificate of Traffic(Surat Keterangan Lalu Lintas/Form: 009) from the authorities (police, district head, village chief/headman) stating thatthe insuredbecomesvictim ofan accident whiledriving a vehicle
      5. Certificate of Permanent Disability Percentage from the Doctor

      Medical Expenses :

      1. Original and copy of AKDP Card
      2. Original and copy of ID card/ driving license
      3. Completed Loss Report(Form: 008) andsigned by the insuredor their heirs
      4. Certificate of Traffic(Surat Keterangan Lalu Lintas/Form: 009) from the authorities (police, district head, village chief/headman) stating that the insured becomes victim of an accident while driving a vehicle
      5. Original hospital/doctor receipt and all its attachments
    • ASURANSI TANGGUNG JAWAB HUKUM PIHAK KETIGA (ATJHK)

      1. Certificate of Accident from the Police/ a letter stating that the insured vehicleis in a position that is at fault
      2. Claim letterof third parties to the Insured by the details and the number of claims for compensation
      3. Copy ofthe vehicle registration (STNK) of vehicles insured
      4. Driving License (SIM) /photocopy
      5. TJHK Insurance Card/photo copy
      6. Receipt from the workshops that made the repair
      7. If the Third Party’s loss in the form of damage to objects, it is necessary to provide receipt of the repair or proof of purchase of the object
    • ASURANSI KECELAKAAN DIRI ANGGOTA (AKDA)

      Death :

      1. Original and copy of AKDA Card
      2. Original and copy of ID card/ driving license / Membership card
      3. Completed Loss Report
      4. Certificate of Accident from Head of Work-unit (Kasatker)
      5. Cover Letter from Head of Work-unit (Kasatker)
      6. Copy of Family Card(KK)
      7. Original or legalized copy of Death Certificate from Hospital/Government Agencies
      8. Certificate of Heirs
      9. Copyof beneficiary’s ID card
      10. Certificateof Accident from the Police
      11. Copy of the heir’s bank account book (If the compensation payment through account transfer)

      Permanent Disability :

      1. Originalandcopy of AKDACard
      2. Original and copy of ID card/ driving license / Membership card
      3. Complete the Claim Formfollowingthe accident chronology
      4. Certificate of Permanent Disability Percentage from the Doctor
      5. Certificate of Accident from the Police

       

      Medical Expenses :

      1. Originalandcopy of AKDPCard
      2. Original and copy of ID card/ driving license
      3. Complete the Claim Formfollowingthe accident chronology
      4. Original hospital/doctor receipt and all its attachments
      5. Certificate of Accident from the Police
    • ASURANSI IDAMAN BHAYANGKARA (ASIBHARA)

      Death :

      Death :

      1. Original and copy of ASIBHARA Card
      2. Original and copy of ID card/ driving license / Membership card
      3. Cover Letter from Unit/Agencies/ Authorized Officer
      4. Copy of Family Card(KK)
      5. Original or legalized copy of Death Certificate from Hospital/Government Agencies
      6. Certificate of Heirs
      7. Copyof beneficiary’s ID card
      8. Certificateof Accident from the Police
      9. Copy of the heir’s bank account book (If the compensation payment through account transfer)

      Permanent Disability :

      1. Originalandcopy of ASIBHARACard
      2. Original and copy of ID card/ driving license / Membership card
      3. Cover Letter from Unit/Agencies/ Authorized Officer
      4. Certificate of Permanent Disability Percentage from the Doctor
      5. Certificateof Accident from the Police

      Medical Expenses Due To Accident :

      1. Original and copy of ASIBHARACard
      2. Original and copy of ID card/ driving license / Membership card
      3. Cover Letter from Unit/Agencies/ Authorized Officer
      4. Original hospital/doctor receipt and all its attachments
      5. Certificateof Accident from the Police
    • AKDA EXTRA

      Death :

      1. Original and copy of AKDA EXTRA Card
      2. Original and copy of ID card/driving license/passport/student card/Membership card
      3. Complete the Claim Form following the accident chronology
      4. Copy of Family Card(KK)
      5. Original or legalized copy of Death Certificate from Hospital/Government Agencies
      6. Certificate ofHeirs
      7. Copy of beneficiary’s ID card
      8. Certificate of Accident from the Police/authorized officer

      Permanent Disability Due To Accident :

      1. Original and copy of AKDA EXTRA Card
      2. Original and copy of ID card/driving license/passport/student card/Membership card
      3. Complete the Claim Form following the accident chronology
      4. Certificate of Permanent Disability Percentage from the Doctor
      5. Certificate of Accident from the Police/authorized officer

      Medical Expenses Due To Accident :

      1. Original and copy of AKDA EXTRA Card
      2. Original and copy of ID card/driving license/passport/student card/Membership card
      3. Complete the Claim Form following the accident chronology
      4. Original hospital/doctor receipt and all its attachments
      5. Certificate of Accident from the Police/authorized officer
    • FIRE INSURANCE

      CLAIM DOCUMENT FIRE INSURANCE copy

       

       

       

       

       

       

       

    • MOTOR VEHICLE INSURANCE

      CLAIM DOKUMEN MOTOR VEHICLE copy

       

       

       

       

       

       

      Link Bengkel Rekanan

    • PERSONAL ACCIDENT

      CLIAM DOCUMENT PA copy

    • MARINE CARGO INSURANCE

      CLAIM DOCUMENT CARGO INSURANCE copy

       

       

       

       

       

       

       

       

    • ENGINEERING INSURANCE

      CLAIM DOCUMENTS ENGINEERING INSURANCE copy