You may submit a claim to us by completing the relevant form(s). Please click here to download the form(s) then submit all of the hard copy documents to the following address:

PT Administrasi Medika
Gedung Telkom STO Gambir, (Gedung C, Lantai 1)
Jl. Medan Merdeka Selatan No.12, Jakarta Pusat 10110
UP: Ibu Linda Asmarani

Should you have any question, you may call our Customer Care at (62 21) 3119 5519, Monday-Friday, 08:00 am - 05:00 pm, (excluding Public Holidays)