Point of Sales - Salaam Family Takaful

Claims Tracking

Claims tracking

Track your Claim

Intimation Received

Once the intimation received to the Company.
Preliminary Assessment

Generation of claim number and issuance of claim form
Requirements

Submission of claim form and due requirements
Decision

Salutation

Gender*

First Name*

Middle Name

Last Name*

Date of Birth*

Marital Status*

Nominee's Occupation

Relationship with deceased*

Present Address*

Correspondence address*

City*

Phone No.*

Mobile Number*

CNIC No.*

CNIC Issue date*

CNIC Expiry Date*

Email Address*

Bank's Name*

Bank Account Number*

Account title*

Bank's Branch Name

Claiming The Benefit As*

Names of legal Heirs with relationship*

Membership Number*

Amount Claimed*

Deceased Information

Gender*

First Name*

Middle Name

Last Name*

Father's Name*

Date Of Birth*

Date Of Death*

CNIC No.*

Place Of Death*

Cause Of Death*

Duration Of Illness*

Briefly describe the circumstances of death*

Date when deceased complained about his illness*

What was the complaint about*

Treatment details Prior to death:

Detail of all treatments taken immediately prior to death

Doctor/Hospital*

Doctor

Hospital

Doctor's/Hospital's name*

Address*

Complaint/Illness*

Date of Treatment*

Details of treatments taken in previous 3 years

Doctor/Hospital*

Doctor

Hospital

Doctor's/Hospital's name*

Address*

Complaint/Illness*

Date of Treatment*

Deceased's Occupation details*

Occupation

Employee Number*

Employer Name*

Deceased's Last Working day*

Employer address*

Employer's Phone Number*

Deceased's Coverage details (If any)

Was the deceased covered by any other takaful/insurance company?*

Yes

Membership Number*

Date of issuance*

Company Name*

Company Address*

I hereby declare that the answers to all the questions were entered completely and truthfully and nothing has been concealed or misrepresented. I hereby authorize Salaam Family Takaful Limited Ltd.

1. Knowing that the authorization will be used in determining the eligibility of the payment of death benefit in this(ese) contracts and will be used for processing of these benefits only.

2. To require and collect medical and non-medical information regarding the deceased from all hospitals/doctors, medical facilities, federal, provincial, and local government agencies, law enforcement agencies, Federal Bureau of Revenue, NADRA, Banks, takaful, insurance Retakaful and reinsurance companies and request all of them to provide all such information pertaining to the deceased.

3. And the deceased had during his lifetime authorized the company to have access to such information pertaining him.

4. Furthermore, I also declare that neither I nor any of my immediate family members are affiliated with any political party, or employed by the judiciary, armed forces, law enforcement agencies, or bureaucracy in any capacity.

5. I also declare that I do not have any criminal record nor are there any criminal proceedings pending against me before any adjudicating forums. Furthermore, I am not associated or linked with any proscribed organization or individual as referred to in Schedule IV of the Anti-Terrorism Act 1997, or under any prevailing law of the land.

* I hereby declare that the information set forth herein is true to the best of my knowledge and belief

Upload Files

Participant Membership document*
Nadra Death certificate / burial certificate (if buried abroad)*
Medical attendant form*
Assignment letter*
Copy of CNIC (deceased)*
Copy of passport of deceased (if deceased living abroad)*
Copy of CNIC (claimant)*
Copy of passport of claimant (if claimant living abroad)*
Copies of police report, post mortem report, newspaper clipping (in case of accidental/unnatural death)*
Others*

Choose Files