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  |     [  Thursday, April 24, 2014  ]
 Document Type Description Download
 Contact Directory  Medijaring Contact Directory List
 Official Letter    
 Maybank Medical Outsourcing  Administration of the staff medical benefits scheme of Maybank by Etiqa.
 Medijaring Form    
 Medical Card Replacement Form  Medical card replacement request form for missing/replace/etc.
 Feedback Form  Medijaring feedback/enquiry/complaint form.
 Malaysia Airports  Holdings Berhad    
 Medical Card Replacement Form  Medical card replacement request form for missing/replace/etc.
 Maybank Claim Form    
 Spectacles Form  
 Claim form for reimbursement of eye examination, Spectacles & Contact Lenses 
 (excluding staff under Flexi-Benefits Scheme).
 Medical Treatment Form  Non-panel treatment form.
 Medical/Dental/Miscarriage/H&S Claim Form  Medical/dental/miscarriage/H&S claim form.
 Medical Claim Form - Flexi Plan  Maybank Flexi Plan Medical claim form.
 Maybank Declaration Form for Hospitalization  Maybank declaration form for Hospitalization use.
 EME - Maybank Application Form (English)  Executive Medical Examination Form.
 EME - Maybank Application Form (Malay)  Executive Medical Examination Form.
 Delivery Charges Form  Delivery charges for eligible female staff.
 Declaration Form - Treatment at Panel Clinic  Maybank Declaration Form for Panel Clinic.
 Insurance Scheme    
 Medical Claim Form - Etiqa Takaful
 For Insurance Case.
 Medical Claim Form - Non Takaful  For Insurance Case.
 Medical Claim Form - AmLife  For Insurance Case.
 Medical Claim Form - STMB  For Syarikat Takaful Malaysia Berhad.
 Treatment Confirmation Form  For treatment details submission.
 Member Claims Form  Insured statement submission form.
 Self Funded Scheme    
 Treatment Conformation Form  Doctors' confirmation of treatment.
 Staff Claims Form  For staff claim submission.