Due to company will update form version from times to times,
kindly download latest version direct from Gesica or Epartner.
If want to download from below link, kindly login E-Partner first.
– TPD Claims Requirement Checklist
(Check List)
– Total And Permanent Disability Benefits Claim Form – Claimant’s Statement
(Fill in by CLIENT)
– TPD (Doctor’s Statement)
(Fill in by DOCTOR)
CTC = Certified True Copy
1. TPD (Doctor’s Statement)
2. CTC Clinic/Hospital Consultation Card
1. Total And Permanent Disability Benefits Claim Form – Claimant’s Statement
2. Original copy of Letter of Authorisation/Consent (3 copies)
3. Life Assured’s CTC NRIC
4. Claimant’s CTC NRIC (if different from Life Assured)
5. CTC Employment Termination Letter
6. EPF Withdrawal letter duly certified, if applicable
7. CTC SOCSO Offer Letter/ SOCSO “Keputusan Jemaah Doktor Mengenai Keilatan” if applicable
1. CTC Police Report
2. Newspaper Cutting (accidental cause), if applicable
If Life Assured is a non-Malaysian or event occurred outside Malaysia (except Singapore)
(i) CTC of Life Assured’s Full Passport Book