Please follow the following procedures when making a claim :-

> Notify us either by phone, in writing or in person IMMEDIATELY

> Download the claim form or collect one from any of our offices

> Report to the Police in the event of accidental injury or death.

> Please report to the Labour Department.

Workmen Claim Form ( PDF | Filesize. 1 MB)


  • tick-3 Photocopy of BUR555/BUR500
  • tick-3 Photocopy of Identity Card/ Passport of injured worker
  • tick-3 Photocopy of Form A (to Labour Department)
  • tick-3 Original Medical Bills and Medical Report
  • tick-3 Every Letter, Claim, Writ, Summons and legal proceedings should be notified or forwarded to National Insurance Company Berhad immediately on receipt.


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