Required Documents to Submit a Claim

Initial Documents:

1. A copy of the domestic worker’s passport and Iqama.
2. A copy of the unified contract for mediation services to recruit domestic worker.

Additional Documents Required Based on the Type of Loss:

• In case of absence of the domestic worker (runaway), please attach:
  1. A copy of the report of absence from work (after the lapse of the grace period to cancel the report).

• In case of the domestic worker’s refusal to work, please attach:
  1. A copy of the final decision of the Domestic Workers Disputes Resolution Committee of the final verdict of the Labor Court,

• In case of permanent total or partial disability, or critical/chronic illness, please attach:
  1. A copy of a medical report explaining the medical condition of the domestic worker and their inability to work.

• In case of the death, please attach:
  1. Death certificate (Ministry of Interior- Absher, Civil Affairs).

• In case of emergencies or compelling circumstances:
  1. A death certificate or a medical report certified by the Saudi Embassy in the domestic worker’s country stating that the domestic worker’s relatives (father, mother, children, husband/wife) were exposed to one of the diseases stipulated in the policy (the recruitment office that mediated the recruitment).

Note: If any additional documents are needed to handle the claim, they will be requested later.

1. Claim form filled in (Click Here).
2. A copy of the related insurance document.
3. Immediate written notification from the insured person.
4. Accidents report with details of causes and damages ( in case, the place of goods was the cause of the claim).
5. Claim form filled in.
6. Estimation of Repair + Repair invoices.
7. Nature & range of loss/ damages.
8. Claim statement with supporting documents.
9. Report of the Civil Defense.
10. Images for the damages items.
11. The insured person has to maintain the damaged items/ the location as it is / separated so that it can be examined.

1. Claim form filled in (Click Here).
2. A copy of the related insurance document.
3. Immediate written notification from the insured person.
4. Accidents report with details of causes and damages (in case, the place of goods was the cause of the claim).
5. Claim form filled in.
6. Nature and range of loss/ damages.
7. Claim statement with supporting documents.
8. An image for the damaged items.
9. The insured person has to maintain the damaged items/ the location as it is / separated so that it can be examined.

1. A copy of the related insurance document.
2. Immediate written notification from the insured person.
3. Accidents report with details of causes and damages ( in case, the place of goods was the cause of the claim).
4. Fill out the maritime transport insurance claim form (open document) (Click Here)
5. Fill out the claim form. Maritime transport insurance (one shipment) (Click Here)
6. The value of the invoice from the shipping authority, with support documents.
7. Shipping documents such as shipping policy, packing list, commercial invoices etc.
8. The remaining value of the damages items (if any).
9. An image for the damaged item.
10. A copy of the mutual communications that occurred between the accountable parties.
11. Customs house certificate.

1. A copy of the related insurance document.
2. Report of the details of the accidents.
3. Police report, with a draft drawing.
4. Claim form filled in (Click Here).
5. Medical report from a hospital.
6. Death certificate or a document with the injuries.
7. In case of death; a report with the anatomy status.
8. A copy of the personal ID and the passport of the deceased
9. A declaration from the company of the deceased, showing his/ her name and position.
10. A copy of the employment contract

1. Claim form filled in (Click Here).
2. A copy of the related insurance document.
3. Report of the details of the incident.
4. The time of noticing fraud.
5. A report of the police investigations; in case of asking for money.
6. Audit report.
7. Verification of the contract of permissions of laborers and employees travels.
8. Details of the fraud of the employees etc.
9. Report of cash dealings, in case of asking for money.

1. A copy of the related insurance document.
2. Claim form filled in (Click Here).
3. Medical report.
4. Work contract.
5. Receipt of salary reception for a certain employee.
6. Attendance record.
7. In case, medical expenses claimed, and a copy of the original medical invoices

1. A copy of the related insurance document.
2. Claim form filled in (Click Here)
3. Detailed accident report; cause and details of the accident.
4. Proof of legal responsibility (Police report/ Verdict of a court).
5. An image of the damages that occurred on the vehicle.

1. Claim form filled in (Click Here).
2. Medical report from the hospital signed and stamped.
3. The relationship of the insured person with the medical accident.
4. Validity of the license of the health specialty authority during the time of the medical accident.
5. A copy of the ID of the insured person; residence permit (Iqama) or National ID card.