Trafalgar International - Insurance Brokers and Consultants    


Health and Hospitalisation Insurance
Claim Form

Please ensure your claim form is completed in full and returned as soon as possible. Please note that Insurers are not responsible for any fees incurred in the completion of this form and the issuing of this claim form is in no way an admission of liability.

Please download our claim form, fill it in (you do not need to sign it yet) and send it to us via E-mail to insure@trafalgar-intl.com or via fax to (66) 0-2645-1180. We will then calculate the amount of your claim and send you the claim form together with our quotation for signing.

You return the signed claim form to us and we will let you have the amount of your claim.

Please return completed claim form to:

Trafalgar International Ltd.
21st Fl., Vongvanij Complex, Bldg. B,
100/63 Rama 9 Rd., Huay Kwang,
Bangkok 10320, Thailand

Tel (66) 0-2645-1170
Fax   (66) 0-2645-1180
Email   insure@trafalgar-intl.com

 

Health and Hospitalisation Insurance
Frequently Asked Questions
Premium Rates
Benefit Schedule
Application Form
Claim Form
Sample Policy Wording

 

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