Slide 1
SPEEDY CLAIMS PROCESSING

COMPLETE PEACE OF
MIND WHEN YOU CLAIM

IMPORTANT STATEMENT - You are to disclose in this claim form, fully and faithfully all the facts which you know or ought to know, otherwise the claims issued hereunder may be invalidated.
x
Policy
Verification
Personal
Information
Claim
Selection
Claim
Information
Document
Upload
Claim
Summary
Payment
Details
Claim
Submission
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PLEASE REVIEW THE LIST OF DOCUMENTS THAT YOU ARE REQUIRED TO PREPARE FOR UPLOAD, FOR THIS CLAIM
LOCAL  FOREIGNER 
INJURY
SICKNESS
DEATH
WORK RELATED INJURY
NON-WORK RELATED INJURY
Characters: 0/2000
If YES, please upload the Police report and/or statement, listed under the ‘Upload Documents’ section.
No.
If YES, please upload all Medical documents, listed under the ‘Upload Documents’ section.
No.
Yes
No
Yes
No
Yes
No
Yes
No
PLEASE REVIEW YOUR EMPLOYEE PROTECTION CLAIM SUBMISSION, BELOW.
IF YOU WISH TO MAKE ANY AMENDMENTS, PLEASE CLICK ‘CHANGE' TO MAKE THE NECESSARY CHANGES, THEN RE-SUBMIT.

Declaration

Please note that you are submitting this claim to National Insurance Company Berhad. Please see our full Terms of Conditions and Privacy Policy.

By submitting this claim to us, you are deemed to have agreed to us collecting, using, disclosing and processing your personal data for the purpose of assessing your claim. This may include disclosing and sharing your personal data with our service providers and/or with other insurers in the general insurance industry, including BDCB, for the proper processing, handling and/or dealing with your claim, which includes investigating the said claim and complying with applicable laws (collectively, 'the Purpose'). We may also need to disclose or share your personal data with service providers who are sited outside Brunei for the Purpose.

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Contact Info

Unit 12 & 13, Block A, Regent Square
Simpang 150, Kampong Kiarong BE1318
P.O. Box 1251, BSB BS8672
Negara Brunei Darussalam
+673 222 6222
insurance@national.com.bn
Monday to Thursday
8.00am to 5.30pm

Friday
8.00am to 12.00pm
2.00pm to 5.30pm