Mitsui Sumitomo Insurance (China) Company, Limited
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Employer's Liability Insurance   

 Claim Procedure

 Documents List for Claims

◎ Claim Report and Application Form (Please fill in the wages record for 12 months preceding the accident with the company chop)
◎ Copy of the industrial injury certificate
◎ Copy of identity card of the injured, copy of employment contract
◎ Copy of medical record/report
◎ original medical receipts (aiming at the employee who did not attend employment injury insurance and comprehensive insurance and
     the accident out of the scope of the industrial injury)
◎ other documents which relate to the reason, nature and extent of the accident


Please kindly be noted all above mentioned are just for your reference. It maybe need you to provide extra documents aiming at particular case. By then we will explain to you according to different situation.
Thank you for your understanding and support.


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Mitsui Sumitomo Insurance (China) Company, Ltd.
34F,Shanghai World Financial Center,100 Century Avenue,Pudong New Area,Shanghai 200120
Tel:021-68777800    Fax:021-68776066