My Cigna

Common Forms

Below you'll find all the commonly used Cigna forms, making it easier for you to find the one you need.

 

Claim Forms

Select the appropriate form to download below. If you are unsure which form is right for you, please use the Live Chat at the bottom right of this page or call one of the friendly team on 0800 900 047.

You can find further information on our claims page.

 

 

Travel Insurance Claim

If you need to make a claim for Cigna Travel Insurance, print out the form below and send it to P.O. Box 24031 Wellington 6142 or travelclaims@cigna.com.

Cigna Travel Insurance Claim Form

Your Guide to Making a Claim

 

 

Funeral Insurance Claim

If you are the nominated beneficiary

Funeral Cover Claim Form

Lost Policy Declaration

If there are multiple nominated beneficiaries

Funeral Cover Claim Form

Lost Policy Declaration

If you are the executors of the estate

Funeral Cover Claim Form

Lost Policy Declaration

If you are the 3rd party owner

Funeral Cover Claim Form

Lost Policy Declaration

If you are the authorised representative of the estate (where there is no will)

Lost Policy Declaration

 

 

LifeOne Insurance Claim

If you are the executors of the estate

LifeOne Claim Form

Lost Policy Declaration

If you are the 3rd party owner

LifeOne Claim Form

Lost Policy Declaration

 

 

Terminal Illness Insurance Claim

Terminal Illness Claim Form

Lost Policy Declaration

Initial Medical Attendant’s Statement

 

 

Accidental Death Insurance Claim

If you are the executors of the estate

Accidental Death Claim Form

If you are the 3rd party owner

Accidental Death Claim Form

 

 

Trauma Insurance Claim

For Major Illness (other than Cancer)

Major Illness Claim Form

Initial Medical Attendant's Statement

For Cancer

Cancer or Major Illness Claim Form

Initial Medical Attendant's Statement

 

 

Frequently Asked Questions - My Cigna

We've compiled a list of answers to frequently asked questions based on feedback from our valued customers. These include information about making a claim on your Cigna Insurance Policy, applying for a new policy or finding out more about our insurance products. Please do not hesitate to contact Cigna on 0800 900 047, or email us at contactus.nz@cigna.com if you have another question.

How do I make a claim - what's the first step?

The first step in making an insurance claim is to contact Cigna directly. Our team will guide you through the claims process, beginning with giving you clear information on your policy and sending out any required forms for your claim. Call us free on 0800 900 047, or email us at claims.nz@cigna.com.

What type of information will I need to provide when making an insurance claim?

The information you need to provide when making an insurance claim will vary depending on the type of claim you are making. We will send you a claim form when you contact us that describes in detail the information you need to provide us to assess your claim.

Need help with a claim or have a question not answered here?

Call us free on 0800 900 047, or email claims.nz@cigna.com.