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Type of Request Document PeriodAccident orhealth claimNot over 3 days afterthe date that the Company received complete and correct documents.%u2022 Compensation request form in case of injury/illness (according to the Company%u2019s form)%u2022 Original medical expense receipt in case of medical expense claim request under PA or Hospital & Surgical (H&S) contract, or copy of medical expense receipt%u0009 in case of claim request under Hospital Benefit (HB) contract%u2022 X-ray result interpretation in case of broken boneInsured%u2019s identity verification documents issued by the government%u2022%u0009 Copy of daily police report certified by an official (if any)%u2022 Power of Attorney and Consent for Medical History DisclosureHow to sign a Document1.%u0009 In case of signing with fingerprints, signatures of 2 witnesses must be completelyprovided. 2.%u0009In case the beneficiary is not over 10 years old, a father/mother/legal guardianmust sign on his/her behalf and specify the relationship.3.%u0009In case the beneficiary is over 10 years old but less than 20 years old, a father/mother/legal guardian must sign together with the minor and specify the relationship.4.%u0009In case the insured is a minor and less than 20 years old, a father/mother/legal guardian is required to submit the following additional documents.1. Copy of house registration %u0009 2.%u0009 Copy of identification cardRemark :1.%u0009In case of receiving accident and/or health claim of no more than 10,000 Bahtper injury/illness through counter service at 7-Eleven stores2.%u0009For non-Thai nationals, please attach a copy of passport or documents issued%u0009 by official authorities for consideration.3. Required documents%u0009 -%u0009 OTP from your mobile phone%u0009 -%u0009 ID Card (For non-Thai nationals, a passport or documents Issued by official authorities are required)Remark : In case it is suspicious that the policy claim request is not in accordance with the policy coverage, the period can be extended as appropriate; however, %u0009 %u0009 it must not exceed 90 days after the date that the Company received complete documents. Cooperatives, foundations, associations, clubs, temples, mosques, shrines, and other similar juristic persons are required to submit the following documents. - Registration documents or business license documents or establishment documents from relevant government agencies - Power of attorney to make transactions (in the event of authorization) %u0009 2.%u0009 Authorized signatory on behalf of the juristic person is required to submit the following documents.%u0009 %u0009 2.1%u0009 Identification card for a Thai national%u0009 %u0009 2.2%u0009 Passport for a non-Thai national - Copy of identification card or passport which is still valid on the submission date of death claim documents%u0009 %u0009 %u0009 %u0009 -%u0009 All copies of the documents must be certified as true copies by the person authorized to make transactions.MTL ClickApplicationScan to downloadRemarks :According to the Notification of the Anti-Money Laundering Office, if the claim amount is 100,000 Baht and above,the insured/beneficiary is required to identify and verify the identity:%u2022%u0009 At MTL Customer Service Centers nationwide or to the Company%u2019s life insurance agents, or%u2022%u0009 Scan the QR code below and download MTL Click Application. Attach a color photograph (taken no more than 6 months)and a photo of ID card via E-KYC menu, or%u2022%u0009 Attach a color photograph (taken no more than 6 months) and a photo of ID card, and mail to Muang Thai Life Assurance%u0009 Public Company Limited, 250, Rachadaphisek Road, Huai Kwang, Bangkok 10310.%u2022%u0009 If the insured/beneficiary is a minor and has no ID card, a father/mother/legal guardian is required to identify and verify theidentity.Annual Report 2024 I Muang Thai Life Assurance PCL 255