MOTOR CHECKLIST

COMMERCE TAKAFUL BERHAD

FAMILY TAKAFUL CLAIM SUBMISSION

DEATH CLAI M

YESNO1. Death Claim Form To be completed by claimant

(form provided by CTB)2. Death Certificate - Certified True Copy (CTC) by: Magistrate, Justice of Peace, Commissioner of Oath or Gazetted Officer, Bank Officer, CTB Officer

3. Deceaseds Identity Card, Birth Certificate or Passport or Driving License Certified True Copy

4. Original Policy / Certificate If any

5.Medical Attendants Certificate to be completed by doctor

(Form provided by C.T.B)

IF DEATH DUE TO ACCIDENT (ADDITIONAL DOCUMENTS)

7. Police Report (Certified True Copy)

8. Post Mortem report (Certified True Copy)9. Any other evident such as newspaper cutting

IF DEATH OVERSEAS

10. Import / Export Permit certificate (Certified True Copy)

11. Letter from Malaysian Embassy in foreign country to confirm death

EMBED Unknown

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