Claims | UCN

No.	Foreign Workers Compensation Scheme (FWCS) Claims	File Type	File Size	Download
1.	FWCS CLAIM PROCEDURE GUIDELINE	PDF	172.69kb	Download
2.	FWCS CLAIM CHECK LIST PERMANENT DISABLEMENT (Attachment B5)	PDF	146.53kb	Download
3.	FWCS CLAIM CHECK LIST DEATH CLAIM (Attachment B6)	PDF	66.29kb	Download
4.	FWCS REPATRIATION SAMPLE AUTHORIZED CLAIM LETTER (Attachment B7)	PDF	45.8kb	Download
5.	E PAYMENT FORM CHUBB	PDF	133.47kb	Download
6.	E PAYMENT FORM BERJAYA SOMPO	PDF	60.95kb	Download
7.	LABOUR OFFICE ADDRESS (Attachment A2)	PDF	159.83kb	Download
8.	SAMPLE LETTER REPORT OF DISABLEMENT CLAIM TO LABOUR OFFICE (Attachment B1)	PDF	49.02kb	Download
9.	SAMPLE LETTER REPORT OF DEATH TO LABOUR OFFICE (Attachment B2)	PDF	50.01kb	Download
10.	SAMPLE TO FILL FORM PP2	PDF	707.7kb	Download
11.	FORM PP2	PDF	1.31MB	Download
12.	FORM LAB 90	PDF	893.78KB	Download
13.	FWCS WORKMEN COMPENSATION SCHEDULE	PDF	448.86kb	Download
14.	PANEL CASKET: Casket Paradise 0123334646 (Bob), 0123313946 (Jaymie)	PDF	84kb	Download

No.	Foreign Worker Hospitalization And Surgical Insurance Scheme (SKHPPA) Claims	File Type	File Size	Download
1.	SKHPPA – MEDICAL REIMBURSEMENT FORM	PDF	29.25kb	Download
2.	SKHPPA CLAIM CHECK LIST	PDF	144.75kb	Download
3.	E PAYMENT FORM – CHUBB	PDF	467kb	Download
4.	E PAYMENT FORM – BERJAYA SOMPO	PDF	94kb	Download
5.	SKHPPA DEPOSIT REIMBURSEMENT CLAIM	PDF	233kb	Download
6.	SKHPPA PANEL HOSPITAL LISTING	PDF	1.31mb	Download
7.	SKHPPA CLAIM FLOWCHART	PDF	205kb	Download

No.	Domestic Maid Insurance Scheme (DHIS) Claims	File Type	File Size	Download
1.	CLAIM DHIS CHECK LIST PA ACCIDENT AND H&S CLAIM	PDF	235kb	Download
2.	CLAIM DHIS CHECK LIST PA DEATH CLAIM & REPATRIATION EXPENSES	PDF	239kb	Download
3.	E PAYMENT FORM FOR CHUBB	PDF	133.47kb	Download

No.	Other Classes of Claims	File Type	File Size	Download
1.	MOTOR INSURANCE CLAIM GUIDELINE	PDF	2.25mb	Download
2.	CLAIM MOTOR INSURANCE CHECKLIST FOR CAR ACCIDENT	PDF	229.74kb	Download
3.	CLAIM MOTOR INSURANCE CHECKLIST FOR THEFT CLAIM	PDF	248.72kb	Download
4.	CLAIM MOTOR INSURANCE CHECKLIST FOR WINDSCREEN DAMAGE CLAIM	PDF	254.12kb	Download
5.	CLAIM ALL RISKS INSURANCE	PDF	195.18kb	Download
6.	CLAIM BURGLARY INSURANCE	PDF	248.95kb	Download
7.	CLAIM CONTRACTORS ALL RISKS ERECTION ALL RISKS INSURANCE	PDF	240.05kb	Download
8.	CLAIM FIRE INSURANCE	PDF	195.16kb	Download
9.	CLAIM HOUSEOWNER HOUSEHOLDER INSURANCE	PDF	195.07kb	Download
10.	CLAIM PERSONAL ACCIDENT INSURANCE	PDF	195.44kb	Download
11.	CLAIM PUBLIC LIABILITY INSURANCE	PDF	195.1kb	Download
12.	CLAIM WORKMENS COMPENSATION INSURANCE	PDF	241.21kb	Download

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