1. Click the Download button to download the claim form.
2. Fill in the form and make sure you have all the supporting documents that we require.
3. Mail the completed form and all your supporting documents (original unless otherwise stated) to:
Asuransi Dayin Mitra, PT
Wisma Sudiroman Annex,
Jl. Jend Sudirman 34,
Jakarta, 10220, Indonesia
62 021 570-8989 (hunting), 62 021 570-9270 (fax) 62 021 5709274 (claim)
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