Individual claims

How to make a claim

There are two ways you can make a claim, let us guide you

Get in touch with our team

Get in touch with your Financial Adviser and they will guide you through the steps to make a claim.

Submit directly to our claim specialists

If you'd like to submit the claim form to us, read the instructions here.

1. Download and complete the relevant claim form below.

2. Refer to the "Claims Procedures at a Glance" (the cover page of the Claim Form) for information on the documents required and the claim submission procedure. 

Form Library

Download the relevant claim forms that you'll need

Total & Permanent Disability, Disability Income and Terminal Illness Claim

Disability &/or Terminal Illness Claim – Claimant's Statement
Download
Disability Income Claim – Doctor's Statement
Download
Total & Permanent Disability and/or Terminal Illness Claim – Doctor's Statement
Download

Personal Accident Claim

Personal Accident Claim – Claimant's Statement
Download
Personal Accident Claim – Continuity Claim Form
Download
Personal Accident Claim – Doctor's Statement
Download

Medical Insurance Claim

Retail & Individual Medical Claim Form
Download

Benefit Claim

Benefit Claim – Claimant's Statement
Download

Critical Illness &/or Male / Female / Child Illness Claim

(A) Claim Form - to be completed by the life assured

Living Benefit Claim - Claimant's Statement

Download
(B) Doctor's Statement - to be completed by the attending doctor
Severe stage of Critical Illness Early and Intermediate stages of Critical Illness  Attending Doctor's Statement (APS)
Alzheimer's Disease / Severe Dementia Diagnosis of Dementia including Alzhemier's Disease Download
Angioplasty & other Invasive Treatment for Coronary Artery   Download
Apallic Syndrome   Download
Aplastic Anaemia Reversible Aplastic Anaemia Download
Bacterial Meningitis Bacterial Meningitis Download
Benign Brain Tumour

Surgical Removal of Pituitary Tumour

Surgery for Subdural Haematoma

Download
Blindness (Loss of Sight) Loss of sight in one eye or Optic Nerve Atrophy with low vision Download
Coma

Coma for 48 hours

Severe Epilepsy

Download

a. Coronary Artery By-Pass Surgery

b. Other Serious Coronary Artery Disease

Transmyocardial Laser Revascularisation

Keyhole Coronary Bypass Surgery

Coronary Artery Atherectomy

Enhanced External Counterpulsation Device Insertion

Download
Deafness(Loss of Hearing)

Partial loss of hearing

Cavernous sinus thrombosis surgery

Cochlear implant surgery

Download
End Stage Liver Failure

Liver Surgery

Liver Cirrhosis

Download
End Stage Lung Disease

Severe Asthma

Insertion of a Veno-cava filter

Surgical removal of one lung

Download
Fulminant Hepatitis Hepatitis with Cirrhosis Download
Heart Attack of Specified Severity

Cardiac pacemaker insertion

Pericardectomy

Cardiac defibrillator insertion

Cardiomyopathy

Download
Heart Valve Surgery Percutaneous Valve Surgery Download
HIV Due to Blood Transfusion and Occupationally Acquired HIV HIV due to Assault, Organ Transplant or Occupationally Acquired HIV Download
Kidney Failure

Nephrectomy - Surgical Removal of One Kidney

Chronic Kidney Disease

Download
Loss of Independent Existence   Download
Loss of Speech Loss of Speech due to neurological disease Download
Major Burns Mild Burns Download
Major Cancers

Carcinoma in-situ (CIS)

Early Cancers

Download
Major Head Trauma

Facial Reconstructive Surgery

Cervical Spinal Cord Injury

Download
Major Organ / Bone Marrow Transplantation

Small Bowel Transplant

Corneal Transplant

Download
Motor Neurone Disease Early Motor Neurone Disease Download
Multiple Sclerosis Early Multiple Sclerosis Download
Muscular Dystrophy Moderate Muscular Dystrophy Download
Paralysis (Loss of Use of Limbs)   Download
Parkinson's Disease Moderately Severe Parkinson's Disease Download
Poliomyelitis   Download
Primary Pulmonary Hypertension Early Primary or Secondary Pulmonary Hypertension Download
Progressive Scleroderma Systemic Sclerosis with CREST Syndrome Download
Stroke

Brain aneurysm surgery

Cerebral shunt insertion

Carotid artery surgery

Download
Surgery to Aorta

Large Asymptomatic Aortic Aneurysm

Minimally Invasive Surgery to Aorta

Download
Systemic Lupus Erythematosus With Lupus Nephritis   Download
Viral Encephalitis Encephalitis Download

Maternity and/or Child Benefit Claim

(A) Claim Form - to be completed by the life assured 

Living Benefit Claim - Claimant's Statement

Download
(B) Doctor's Statement - to be completed by the attending doctor
Congenital Illness (Child's) Benefit
Absence of Two Limbs Download
Cleft Lip & Cleft Palate Download
Club Foot Download
Down's Syndrome Download
Spina Bifida Download
Hospital Care (Child's) Benefit
Hospital Care Benefit
Download
Pregnancy Complications (Mother's) Benefit
Abruptio Placentae
Download
Amniotic Fluid Embolism Download
Disseminated Intravascular Coagulation Download
Fatty Liver of Pregnancy Download
Postpartum Haemorrhage requiring Hysterectomy Download
Pre-Eclampsia or Eclampsia Download
Still Birth Download

Let us help you

Need assistance? Get in touch with us

Life Claims

+65 6827 9933

Mondays to Fridays from 8:45 to 17:30

Excluding public holidays

Accident & Health Claims

+65 6827 7788

Email: cs_life@aviva-asia.com

Aviva Customer Service Centre

4 Shenton Way, SGX Centre 2
#01-01, Singapore 068807