Claim forms for download

UCT Dental, Vision and Hearing Expense Insurance

Universal Claim Form

Used for products Accidental Death and Hospital Indemnity Plan (ADHIP), Hospital Indemnity Plan (HIP), Emergicare Plus, Spousal Indemnity Plan (SIP), and Membership and Accident Coverage Protection (MAC)

AME Claim Form

Used for Accident Medical Expense Insurance (AME)

DIP Claim Form

Used for Disability Income Plan (DIP)