Personal Cyber Claim Form Explanation

Section A: Policyholder & Claimant Details

• Name & NRIC/Passport: Enter exactly as shown on your official ID.

• Policy Number(s): If you hold more than one personal cyber policy (e.g. individual + family), list each separated by commas.

• Claimant vs. Insured:

  • If you are filing, repeat your own details.

  • If a spouse or dependent is filing, provide their name, ID number, and relationship to you.

• Example:

  • Policyholder: Jane Doe, S1234567A

  • Claimant (spouse): John Doe, S7654321B; Relationship: Spouse Chubb

Tip: Double-check that the Policy Number matches the one on your policy schedule to avoid processing delays Chubb.

Section B: Payment Details

• EFT (SGD): Recommended for fastest settlement.

  • Payee Name: Must exactly match the name on your bank account.

  • Bank/Branch Code & Account Number: Verify with your bank statement.

• PayNow Option:

  • ID/Mobile Number: Use the number registered with PayNow.

  • Displayed Name: If left blank, Chubb will default to the policyholder name.

Common Mistake: Entering your own NRIC instead of the bank’s branch code. The branch code is a 3-digit number (e.g. “013” for OCBC Chinatown Branch) Chubb.

Section C: Details of Incident

• Police Report: For cyberbullying or identity theft scenarios, a police report is mandatory.

• Date & Time: Use DD/MM/YYYY and HH:MM (24-hour clock).

  • Example: 15/03/2025 at 14:30

• Place & Discovery: Be precise—e.g. “Home office, 123 Orchard Road” and “Discovered by me on 15/03/2025”

• Chronology: Use a separate sheet if you need more space; list events in order (e.g. “1. Unauthorized login detected on 14/03; 2. Bank notified on 15/03; 3. Police report filed on 16/03”). Chubb

Section D: Nature of Urgent Expenses

• Qualifying Expenses may include:

  • Replacement fees (e.g. new SIM card after number takeover)

  • Travel to meet IT support

  • Emergency childcare/eldercare if you must attend to fraud resolution

• Detail & Receipts: For each expense, note date, purpose, and amount.

  • Example: “Replacement SIM card, 16/03/2025, $15. Receipt attached.”

• Tip: Label each receipt with a brief note so reviewers understand its relevance Chubb.

Section E: Loss of Income Benefit Claims

• Employer & Employment Dates: Provide your employer’s name and your start date.

• Period of Loss: State the exact dates you were unable to work or took unpaid leave.

  • Example: 17/03/2025–21/03/2025 (4 days unpaid leave to resolve identity theft)

• Reason: Explain how the cyber event caused income loss (e.g. “Had to attend police station and bank to restore accounts; unable to log in for work email”) Chubb.

Section F: Fraudulent/Unauthorised Usage

• Documentation Required:

  • Police Report covering the unauthorised transactions

  • Letter from each card issuer detailing the fraudulent amounts you’re liable for

• Details Table: List insurer, policy number, amount claimed, and date coverage began.

• Tip: Contact your bank/card issuer early to obtain the investigation outcome letter Chubb.

Section G: Other Benefits

• Open-Ended: Use this to claim any additional covered benefits not listed above.

  • Example: Credit monitoring subscription fees (list provider and dates). Chubb.

Section H: Any Other Insurance

• Disclosure: Tick “Yes” if you’ve claimed (or will claim) from another insurer or source for the same event.

• Details: Provide that insurer’s name, policy number, benefit amount, and effective date to avoid duplicate payouts Chubb.

Section I: Documents Checklist

Ensure you’ve enclosed:

Section J: Declaration

• Read Before Signing: Confirms you understand Chubb’s use of your data and fraud prevention measures.

• Signature & Date: Must be hand-signed (or e-signed if your broker allows) and dated in DD/MM/YYYY format.

• Tip: Print your name clearly below your signature to avoid delays Chubb.