Insurance Verification Form

Insurance Verification Form Template for Malaysia

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Key Requirements PROMPT example:

"I need an Insurance Verification Form for a major construction project in Kuala Lumpur starting March 2025, which must verify comprehensive contractor liability coverage and include specific provisions for construction risk insurance with minimum coverage of RM10 million."

Document background

The Insurance Verification Form is a crucial document used in the Malaysian insurance sector to confirm and validate insurance coverage details. It is designed to meet the requirements of the Financial Services Act 2013 and related regulations enforced by Bank Negara Malaysia. This form is typically required when businesses, institutions, or individuals need to verify insurance coverage for contractual, regulatory, or risk management purposes. The document includes comprehensive information about the insurance policy, including coverage types, limits, validity periods, and policyholder details. It accommodates both conventional insurance and Takaful products, reflecting Malaysia's dual insurance system. The form is structured to ensure compliance with the Personal Data Protection Act 2010 and includes necessary authorizations for information verification and sharing.

Suggested Sections

1. Personal Information: Policyholder's details including full name, IC/passport number, contact information, and address

2. Insurance Policy Details: Information about the insurance policy including policy number, type of coverage, insurance provider, and policy period

3. Coverage Verification: Specific details about the coverage being verified, including coverage limits, deductibles, and specific terms

4. Declaration of Accuracy: Statement confirming that all provided information is true and accurate, with policyholder's signature

5. Data Protection Notice: Statement about how personal information will be used and protected in compliance with PDPA 2010

6. Authorization: Permission to verify information with relevant parties and share information as necessary

Optional Sections

1. Takaful Specific Information: Additional section for Islamic insurance verification, used when the policy is a Takaful product

2. Third Party Authorization: Section for cases where a third party is authorized to verify insurance on behalf of the policyholder

3. Claims History Verification: Optional section to verify claims history when required by the requesting party

4. Additional Coverage Details: For complex policies with multiple coverage types or special endorsements

5. Language Selection: Option to receive form and communications in Bahasa Malaysia, when requested by the policyholder

Suggested Schedules

1. Schedule A - Required Documents: List of supporting documents required for verification (e.g., copy of policy document, identification documents)

2. Schedule B - Coverage Checklist: Detailed checklist of coverage elements being verified

3. Appendix 1 - Terms and Definitions: Glossary of insurance terms used in the form

4. Appendix 2 - Privacy Policy: Detailed privacy policy and data protection information

5. Appendix 3 - Verification Process: Step-by-step guide to the verification process and timeline

Authors

Alex Denne

Head of Growth (Open Source Law) @ ��Ƶ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Relevant Industries

Insurance

Banking and Financial Services

Healthcare

Construction

Real Estate

Transportation and Logistics

Manufacturing

Professional Services

Education

Retail

Hospitality

Relevant Teams

Legal

Compliance

Risk Management

Insurance

Operations

Human Resources

Procurement

Finance

Facilities Management

Contract Administration

Safety and Security

Relevant Roles

Insurance Underwriter

Risk Manager

Compliance Officer

Insurance Claims Manager

Corporate Secretary

Procurement Manager

Human Resources Director

Facilities Manager

Contract Administrator

Legal Counsel

Insurance Broker

Financial Controller

Operations Manager

Safety Officer

Project Manager

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Let's create your Insurance Verification Form

Authors

Alex Denne

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