Khairat Care Claim Application

Complete the Claim Form for us to verify and process your claim request.

Person Covered Information
Details of Claimant

Please ensure the Claimant's details match the Beneficiary details nominated by the Person Covered. If there is any discrepancy we will attempt to verify the authenticity of the Claimant before approval of the claim.

Phone
Payment Details
Supporting Documents Required

Please make sure all documents uploads are in PDF format.

Please be informed that all supporting claims documents must be duly certified by authorised parties. In addition, for claims incurred outside Malaysia, the confirmation of claim event and all other related documents issued by the Foreign Authority must be certified by Malaysian Embassy in the relevant foreign country.