Claim Submission
Policy ID
Plan
HKID English Full Name
Last Name
First Name
HKID
Mobile
Email
Policy Valid Period
22/07/2026 10:40:13 am - 22/07/2026 10:40:13 am
Trip Activation Date and Time
22/07/2026 10:40:13 am - 22/07/2026 10:40:13 am
Claim Type
Accidental Medical Expenses
Part A: Details of the Accident
Date of the accident
Invalid date
Location of the Accident
How did the accident happened?
Medical report
Medical expense receipt
Claim Amount
HK$
Are you fully recovered now?
否，日後會補交醫療 / 醫藥費收據
Part B: Damage of Personal Items
Do you need to claim for the Damage of Personal Items?
No
Other Information
Did you file the claim at another insurance company?
Yes
Name of Insurance Company
Corresponding Insurance Policy Number:
Claim Payment Method
Cheque
Beneficiary Bank
-
Branch Code
Bank Account Number
Name of the Account Holder