Portal | Jubilee Life

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How Can I
Lodge a Claim

Change Request Procedure	Complete E- Form Online
	Death Claim
	Download Claimant’s Statement (Death Claim Form ‘A’)
	Download Doctor’s Certificate (Death Claim Form ‘B’)
	Download Certificate of Identity (Death Claim Form ‘C’)
	Download Employer’s Certificate [For employed deceased only] - (Death Claim Form ‘D’)
	Scan & Upload Claimant’s Statement (Death Claim Form ‘A’ after proper completion and signature
	Scan & Upload Doctor’s Certificate (Death Claim Form ‘B’ after proper completion and signature
	Scan & Upload Certificate of Identity (Death Claim Form ‘C’ after proper completion and signature
	Scan & Upload Employer’s Certificate [For employed deceased only] - (Death Claim Form ‘D’)
	Scan & Upload Death Certificate (NADRA & Hospital)
	Scan & Upload Medical Certificates / Reports of Medical Tests & Examinations
	Scan & Upload Copy of Graveyard Register & Slip
	Scan & Upload Living Benefit(s) Claim
	Appropriate Claim Form
	Scan & Upload Appropriate Claim Form
	Scan & Upload Hospital Admission / Discharge Card
	Scan & Upload Medical Certificates / Reports of Medical Tests & Examinations
	Scan & Upload Computerized National Identity Copy (CNIC) of Claimant
Instructions:	Kindly ensure that all Forms & Documents are signed as per signature affixed in Official Documents & Computerized National Identity Card (CNIC).
	All Forms & Documents (hard copies) properly completed, signed and witnessed should also be submitted at the Head Office of the Company.
	After scrutiny additional requirement(s) / original documents may be called.
	Multiple Claimants would require separate claim to be lodged by each individual Claimant.
	The information provided would be verified from the VERISYS System of NADRA.
	Claim requests must conform to the Plan Specifications and Standard Policy Conditions.
	Jubilee Life’s assessment and decision shall be final and binding on the Claimant.
Communication	Receive Updates ,Information & Answers
(Please select atleast one option of your choice)
Letter
SMS
Email
Please select the communication
Decision	Upon proper Completion of requirements Policy Record will be updated and acknowledged.

Form Completion Instructions:

All fields marked * are mandatory.
Type in BLOCK LETTERS
Type Name in order of Forename, Middle Name and Surname leaving space in between.
Spell name in English as per official certified record.

Life Assured’s Detail On Whom Claim Is Lodged

Policy No	required
Name*	required required
Date of Birth*	required
Computerized National Identity Card (CNIC) No.*	required
Email Address*	required Invalid Email Format
Computerized National Identity Card (CNIC) Expiry Date*	required

Claim Detail

Type of Claim*	required
Benefit(s) Claimed*
Date of Event*	required

Claimant Detail

Name of Person*	required Enter a valid name Enter a valid name required Enter a valid name
Computerized National Identity Card (CNIC) No.*	required
Computerized National Identity Card (CNIC) Expiry Date:*	required
Address*	required required required
Country*	required
Province*	required
City*	required
Landmark
Land Line Number
Mobile Number*	required
Email Address*	required Invalid Email Format

Profile Image

Signature

Thumb Impression

Availiable File Types (JPEG,PNG,GIF) Maximum file size 2MB

Attachments
Mandatory Documents*		*Please select Document Type
		*Please select File

Dear

Please note your request number is
Information provided by you is as follows:
Name of Life Assured.
Date Of Birth of Life Assured.
Computerized National Identity Card (CNIC) Number of Life Assured:
Computerized National Identity Card (CNIC) Expiry of Life Assured:
Name of Claimant. :
Date Of Birth of Claimant.
Computerized National Identity Card (CNIC) Number of Claimant:
Computerized National Identity Card (CNIC) Expiry of Claimant:
Address of Claimant:
City of Claimant: :
Province of Claimant:
Country of Claimant:
Landmark of Claimant:
Land Line Number of Claimant:
Mobile Number of Claimant:
Email Address of Claimant:
Date Of Event
Your Claim after processing would be lodged and communicated to you.
You can also track your request by using our “Request Tracker” facility.
Should you have any further query, you can contact us at:
Call: 021-111-111-554 (JLI)
Email: info@jubileelife.com
SMS: Your Query to 8554
Regards
Jubilee Life Insurance Company Limited
Initiating your request does not mean that your request has been done.By submitting all your requirements your request will be ackonwledged via SMS and will be completed accordingly