Personal Accident Claim 

1. Original copy of the receipt and medical certificate
2. In case of reimbursement for broken bone treatment, radiographic image and X-Ray/CT Scan/MRI results report are required
3. Copy of the first page of the Insured’s passbook (for indemnity payment transfer)
4. Other documents as requested by the company

1. Call Center, Tel. 1292
2. Fill in the claim form.  Click to Download
   
3. Submit the form by postal mail to General Indemnity Department, Allianz Ayudhya General Insurance Pcl., 898 Ploenchit Tower, 9^th Floor Zone A2, Ploenchit Road, Lumpini, Pathumwan, Bangkok 10330 Tel. 02-657-2921-7 or any of our branch offices.

1. The Insured must make advance payment and submit documents to the company for reimbursement afterwards.
2. Indemnity payment can be transferred to savings account of any bank except Government Savings Bank, Islamic Bank of Thailand, Bank for Agriculture and Agricultural Cooperatives, and Government Housing Bank. A cheque payment will be made if the Insured does not have a passbook.

1. Copy of death certificate or autopsy report
2. Certified copy of the Insured’s identification card and house registration
3. Certified copy of the beneficiary’s identification card and house registration
4. Copy of marriage certificate (if applicable) or divorce certificate (if any)
5. Copy of police daily log about the case, certified by case officer (if any)
6. Copy of alcohol test report (if any)
7. Record of family tree
8. Copy of the first page of the Insured’s passbook (for indemnity payment transfer)
9. Other documents as requested by the company

1. Call Center, Tel. 1292
2. Fill in the claim form.  Click to Download
   
3. Submit the form by postal mail to General Indemnity Department, Allianz Ayudhya General Insurance Pcl., 898 Ploenchit Tower, 9th Floor Zone A2, Ploenchit Road, Lumpini, Pathumwan, Bangkok 10330 Tel. 02-657-2921-7 or any of our branch offices.
4. Or send documents via E-mail: [email protected]

Indemnity payment can be transferred to savings account of any bank except Government Savings Bank, Islamic Bank of Thailand, Bank for Agriculture and Agricultural Cooperatives, and Government Housing Bank. A cheque payment will be made if the Insured does not have a passbook.

1. Photograph of the Insured
2. Copy of police daily log about the case, certified by case officer (if any)
3. Certificate of disability and identification card for disabled person (in case of disability)
4. Copy of the first page of the Insured’s passbook (for indemnity payment transfer)
5. Other documents as requested by the company

1. Call Center, Tel. 1292
2. Fill in the claim form.  Click to Download
   
3. Submit the form by postal mail to General Indemnity Department, Allianz Ayudhya General Insurance Pcl., 898 Ploenchit Tower, 9th Floor Zone A2, Ploenchit Road, Lumpini, Pathumwan, Bangkok 10330 Tel. 02-657-2921-7 or any of our branch offices.
4. Or send documents via E-mail: [email protected]

Indemnity payment can be transferred to savings account of any bank except Government Savings Bank, Islamic Bank of Thailand, Bank for Agriculture and Agricultural Cooperatives, and Government Housing Bank. A cheque payment will be made if the Insured does not have a passbook.

1. Copy of receipts and copy of medical certificate
2. Copy of list of expenses (if any)
3. Copy of the first page of the Insured’s passbook (for indemnity payment transfer)
4. Other documents as requested by the company

1. Call Center, Tel. 1292
2. Fill in the claim form.  Click to Download
   
3. Submit the form by postal mail to General Indemnity Department, Allianz Ayudhya General Insurance Pcl., 898 Ploenchit Tower, 9th Floor Zone A2, Ploenchit Road, Lumpini, Pathumwan, Bangkok 10330 Tel. 02-657-2921-7 or any of our branch offices.
4. Or send documents via E-mail: [email protected]

Indemnity payment can be transferred to savings account of any bank except Government Savings Bank, Islamic Bank of Thailand, Bank for Agriculture and Agricultural Cooperatives, and Government Housing Bank. A cheque payment will be made if the Insured does not have a passbook.

1. Copy of medical report and diagnostic test results
2. Copy of tissue diagnosis lab tests/reports
3. Copy of medical treatment records from all hospitals at which the Insured has been treated
4. Copy of receipts showing list of expenses (if any)
5. Copy of the first page of the Insured’s passbook (for indemnity payment transfer)
6. Other documents as requested by the company

1. Call Center, Tel. 1292
2. Fill in the claim form.  Click to Download
   
3. Submit the form by postal mail to General Indemnity Department, Allianz Ayudhya General Insurance Pcl., 898 Ploenchit Tower, 9th Floor Zone A2, Ploenchit Road, Lumpini, Pathumwan, Bangkok 10330 Tel. 02-657-2921-7 or any of our branch offices.
4. Or send documents via E-mail: [email protected]

Indemnity payment can be transferred to savings account of any bank except Government Savings Bank, Islamic Bank of Thailand, Bank for Agriculture and Agricultural Cooperatives, and Government Housing Bank. A cheque payment will be made if the Insured does not have a passbook.