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Microinsurance Philippines

(02) 8241 7401 11/F ETY Building, 484 Quintin Paredes St., Binondo, Manila customercare@westernguaranty.ph

Personal Accident Claim

Checklist of Requirements for Personal Accident Claims in Case of Death

  • Police Report / Affidavit of Accident Report
  • Death Certificate
  • Medical Certificate
  • Birth Certificate
  • Original Official Receipts for Burial Expenses, if this is provided in the coverage

In Case of Dismemberment / Disablement

  • Police Report / Affidavit of Accident Report
  • Medical Certificate and other medical reports if any
  • Certification of an EENT Specialist, if loss of sight
  • Pictures showing the injured body member

In Case of Medical Reimbursement

  • Police Report / Affidavit of Accident Report
  • Hospital’s Statement of Account with change slips
  • Original Official Receipts for medical, hospital, or doctor bills
  • Physician’s prescription/order for medicines or supplies if any
  • Medical Certificate

Note: Claimant will be notified in case additional documents are required

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