OCS

Make A Claim

Organization *

Member ID *

Member name *

Employee phone *

Employee email (optional)

Claim type *

Claim amount *

Claim description (optional)

Claim documents * (Photos of all relevant medical documents including reports, prescriptions, bills etc.)

Choose

Select a file

picture/pdf

Vendor name

Hospital/Doctor/Pharmacy Name

Receipt number

Slip/serial no in receipt

Receipt date

Date on receipt

Star (*) marked fields are mandatory

I hereby certify that all the information submitted online with this application and all statements of facts contained herein are true, complete, and correct to the best of my knowledge. I further declare that I will send all original copies of the money receipts to Guardian Life Insurance Limited (GLIL) in due course and if any of my submitted documents (scanned copies) are found to be fabricated/manipulated/false at any time in the future, I will be liable to return the paid claim amount to GLIL and the employer can take appropriate legal action against me.