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Servicing Forms

If you purchased family takaful plan individually rather than through your employer or group, find the forms you need below. Group participants, please contact your plan administrator.

TAKAFUL

APPLICATION FOR COPY OF LOST CERTIFICATE

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(PDF - 669 KB)

TAKAFUL

AUTO DEBIT AUTHORIZATION FORM

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(PDF - 855 KB)

TAKAFUL

CHANGE OF ADDRESS FORM

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(PDF - 559 KB)

TAKAFUL

CREDIT CARD AUTHORIZATION FORM

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(PDF - 476 KB)

TAKAFUL

DIRECT CREDITING INSTRUCTION FORM

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(PDF - 384 KB)

TAKAFUL

EXTRACT OF SPECIMENT

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(PDF - 389 KB)

TAKAFUL

HEALTH DECLARATION FORM

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(PDF - 554 KB)

TAKAFUL

NOMINATION FORM

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(PDF - 532 KB)

TAKAFUL

REQUEST FOR ALTERATION FORM-FINANCIAL

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(PDF - 763 KB)

TAKAFUL

REQUEST FOR ALTERATION FORM- NON FINANCIAL

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(PDF - 389 KB)

Brochures

Claim Forms

TAKAFUL

Accident Claim Form

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(PDF - 441 KB)

TAKAFUL

Accidental Death Benefit Claim Form

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(PDF - 111 KB)

TAKAFUL

Attending Physician Statement

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(PDF - 309 KB)

TAKAFUL

Attending Physician's Statement - Hospitalisation Claim

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(PDF - 236 KB)

TAKAFUL

Authorization for Release of Medical Report (Death Claim)

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(PDF - 173 KB)

TAKAFUL

Authorisation for Release of Medical Report (Non-Death Claim)

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(PDF - 174 KB)

TAKAFUL

Certificate of Medical Attendant - Weekly Indemnity

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(PDF - 158 KB)

TAKAFUL

Claims Notification Advice

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(PDF - 100 KB)

TAKAFUL

Confidential Medical Certificate (TPD Benefits Claim)

Confidential Medical Certificate (Total and Permanent Disability Benefits Claim)

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(PDF - 340 KB)

TAKAFUL

Critical Illness Claim Form

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(PDF - 391 KB)

Don’t see what you need?

Call us at 1 300 22 9777 or Email to customercare@ammetlifetakaful.com

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