团体商务旅行意外伤害保险索赔申请表(5页).pdf

已下载:0 次 是否免费: 上传时间:2025-09-08

索赔申请人应正确详细填写此申请表,并连同后页所列索赔所需的文件于索赔事由发生 30 天内交至:

Please complete this form as truthfully and accurately 

as possible, and return this with the supporting

documents listed in this form below within 30 

days after the occurrence to:

发送电子邮件至:

或邮寄至

For Official Use Only

Claims Officer Name:

Claim No.:

Policy Holder Information 投保人资料

Name of Policy Holder:

投保人名称:

Policy No:

保险单号码:

Name of Contact:

联系人名称:

Telephone No.:

电话号码:

Contact Address/Email:

联络地址/电邮:

Insured / Claimant Information 

被保险人/索赔申请人资料

Name of Insured:

被保险人名称:

Age:

年龄:

立即下载 立即收藏

团体商务旅行意外伤害保险索赔申请表(5页).pdf

所需圈币:53

您的剩余圈币为:0

立即下载

付费方式

优惠价300

了解会员详情>
取消 确认支付