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AWC Claim Forms
Links

If the renewal date for your policy was before 01 December 2011 please click here for yourguide to making a claim and where to send your documents
   

I M P O R T A N T

Please use these forms ONLY if your cover is underwritten by Allianz Worldwide Care and which is shown on your 'Certificate of Insurance'.

If you require any help or are unsure how to make a claim, please contact your nearest ALC Health regional centre for assistance.

 

  the claim forms downloaded from this page should only be used for polciies renewing before 01 December 2011
   

Please click on the images below for the ALC Health claim form that you require
 
(All these documents are in .pdf format and will require the latest version of adobe acrobat to download corectly)


      assistance and claims procedure   Corporate Scanning of Claim Forms Procedure   

          Guide to Making             Scanning a                         Policy
                 a clam                       claim form                       Wording
 
       Medical Claim Form    Continuation of Claim Form    Treatment Request Form

          Medical Claim                 Continuation           Treatment Request 
                                                 of Treatment              (Hospitalisation)

 
      Dental Claim Form    Optical Claim Form     Routine Health Management
 
        Dental Treatment           Optical Care                  Routine Health 
                                                                                      Management


      Treatment Request Form     Medical Claim Form


      German  Language       German Language
       Treatment Request            Medical Claim 
                 


For further Assistance

If you have any questions about the range of options available to you or would like to speak with one of our knowledgeable and experienced advisors contact your nearest ALC Health regional office.



(+ 44) 1903 817970   (UK)
(+ 34) 952 931609     (Spain)
(+ 356) 999 91038     (Malta)


or e-mail us at sales@alchealth.com

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