Claim Forms
Click to download.
Affirm Critical Illness
Select applicable form based on Type of Claim:
- APS Alzheimer’s
- APS Benign Brain Tumour
- APS Blindness
- APS Cancer
- APS Coma
- APS Coronary Artery Disease Surgery
- APS Deafness
- APS Heart Attack
- APS Heart Valve & Structural Surgery
- APS Kidney Failure
- APS Loss of Limbs
- APS Loss of Speech
- APS Major Burns
- APS Major Organ Transplant
- APS Multiple Sclerosis
- APS Paralysis
- APS Parkinson’s disease
- APS Stroke