Special Notice -
All original claim documents including claim form must be signed by the school principal with the principal's seal, signature, and date of signing. (Please make sure principal’s certification at the bottom of the documents, ensure not to obscure any details)
In addition, Sri Lanka Insurance Corporation General Limited has right to call any other information or required document when necessary.
- Original Claim Form
- Original Final Detailed Bill
- Original Deposit Payment Receipts
- Original Payment Receipts
- Other & Aditional Benefits paid within the indoor limit, Original Bills, Payment Receipts and Prescriptions
- Certified Copy of Diagnosis Card with Doctor Seal
- Doctor's Recommendation Letter for Oversease Treatments
- Certified Copy of Bank Pass Book of Father/ Mother or Guardian
- Certified Copy of the Birth Certificate of the Student
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Other relevent Documents of the claim.
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- Original Claim Form
- Balance Letter issued by Other Insurance or Company
- Certified Bills & Payment Receipts from Other Insurance or Company
- Original copies of payment receipts if any part of the total bill has been paid by the parents
- Other & Aditional Benefits paid within the indoor limit, Original Bills, Payment Receipts and Prescriptions
- Certified Copy of Diagnosis Card with Doctor Seal
- Doctor's Recommendation Letter for Oversease Treatments
- Certified Copy of Bank Pass Book of Father/ Mother or Guardian
- Certified Copy of the Birth Certificate of the Student
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Other relevent Documents of the claim.
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- Original Claim Form
- Certified copy of Diagnosis Card with Doctor Seal
- Certified Copy of Clinic Book 1st page with Doctor Seal, Student Name & Age
- Certified copy of the child's clinic book which mentions the dates of admission and discharge from the hospital
- Original Bills, Payment Receipts and Prescription, Prescribed Drugs & Tests undergone from outside while being an inpatient in a Government Hospital
- Certified Copy of Bank Pass Book of Father/Mother or Guardian.
- Certified Copy of the Birth Certificate of the Student
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Other relevent Documents of the claim.
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- Original Claim Form
- Certified Copy of Prescription for approved tests and Ayurvedic treatments (with official seal of the doctor)
- Original bills and payment receipts for approved tests and Ayurvedic treatments
- Certified Copy of Bank Pass Book of Father/Mother or Guardian.
- Certified Copy of the Birth Certificate of the Student
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Other relevent Documents of the claim.
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- Original Claim Form
- Original prescription with doctor seal issued by an eye surgeon
- Original prescription with doctor seal issued by an ENT surgeon
- Original bills & prescription issued by dental surgeon with doctor seal.
- Original bills with paid seal for spectacle/ hearing aids
- Certified copy of EYE clinic book or ENT clinic book
- Certified Copy of the Birth Certificate of the Student
- Certified copy of bank pass book of father/ mother or guardian
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Other relevent Documents of the claim.
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Reimbursement Basis (Local and Overseas Hospitals)
- Original Claim Form
- Original Final Detailed Bill
- Original Advance / Deposit Payment Receipts
- Original Final Payment Receipts
- Certified Copy of Diagnosis Card with Doctor Seal
- Doctor's Recommendation Letter for Oversease and Local Treatment
- Certified Copy of Bank Pass Book of Father/Mother or Guardian.
- Other Treatment Records related with the illness
- Certified Copy of the Birth Certificate of the Student
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Other relevent Documents of the claim.
Direct Basis (Approved Local Hospitals Only)
- Original Claim Form
- Certified copy of Diagnosis Card with Doctor Seal.
- Documents regarding estimated cost for the surgery or illness issued by Hospital.
- Doctor's Recommendation Letter for the treatment
- Certified Copy of Bank Pass Book of Father/Mother or Guardian
- Other Treatment Records related with to the Illness
- Certified Copy of the Birth Certificate of Student
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Other relevent Documents of the claim.
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Permanent & Partial Disability
- Original Claim Form
- Certified Copy of Diagnosis Card with Doctor Seal
- Medical Examination Report for Local Consultant Doctor with Declaration of Dissability as a Persentage
- Medical Treatment Records
- Certified Copy of the Birth Certificate of Student
- Certified Copy of Bank Pass Book of Father/Mother or Guardian
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Other relevent Documents of the claim.
Temporary Disability
- Original Claim Form
- Certified Copy of Diagnosis Card with Doctor Seal
- Medical Certificate issued by Hospital
- Confirmation Letter issued by the Principle with the Confirmation for Absent Period for School
- Certified Copy of the Birth Certificate of Student
- Certified Copy of Bank Pass Book of Father/Mother or Guardian
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Other relevent Documents of the claim.
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- Original Claim Form
- Certified Copy of the Death Certificate
- Confirmation of Information Form filled by Gramaniladhari
- Certified Copy of the Inquirer’s certificate of death with schedule
- Certified Copy of the Birth Certificate of Student
- Certified copy of the NIC of deceased Person
- Certified Copy of the Marriage Certificate
- Copy of Bank Account Passbook with Name and Account Number of Student
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Other relevent Documents of the claim.
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