赔偿申请表CLAIMFORM.PDFVIP

家傭門診保障索償表格 Domestic Helper Insurance – Outpatient Claim Form （請以正楷填寫） (Please complete in BLOCK letters) 程序及備註： Procedures and Notes: 1. 請將索償表格於治療後之30 天內呈交本公司 1. Please submit the Claim Form to us within 30 days from the date of treatment. 2. 請將填妥之索償表格連同醫療單據正本及有關文件寄回： 2. Please submit a completed Claim Form, together with