claim form

A form used to ask an insurer to cover or reimburse a cost under an insurance policy.

All languages

English

claim form

Norwegian

skjema for forsikringskrav

Japanese

保険金請求書 — ほけんきんせいきゅうしょ — hokenkin seikyuusho

Korean

보험금 청구서 — boheomgeum cheongguseo

Spanish

formulario de solicitud de cobertura

French

formulaire de demande de prise en charge

German

Leistungsantrag

Illustrations are AI-generated and translations are undergoing language review.