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This section contains some useful forms you may use for your insurance purposes.

Please click on a form below to save it in your computer. All documents are in Adobe PDF format which requires Adobe Reader to open.

If you do not have Adobe Reader you can download it by Clicking HERE

Display #
#	Web Link	Hits
1	QP Dental Reimbursement Form	1168
2	Dental Pre-Authorization Request Form When submitting the claim to AXA, this form must be attached along with the claim form and other supporting documents.	1103
3	Reimbursement Claim Form This claim form is not an admission of liability. Please use a separate claim form for each separate visit to the doctor.	2118
4	Pre-authorisation request form When submitting the claim to AXA, this form must be attached along with the claim form and other supporting documents. Please copy the prior approval no mentioned hereunder onto the claim form. Please fax your prior approval request to AXA on UAE 00 971 4 429 4099, Bahrain 00 973 17 582 648, Qatar 00 974 412 8734,	1309

Al Koot Insurance and Reinsurance Co. - Qatar