Raffles Shield Letter of Guarantee (LOG)

Fill up the form below to request for a LOG to waive your hospitalisation deposit.

Procedure To Follow

Please follow the steps below to ensure smooth processing of your LOG application.

Step 1

Get your documents in order.

1. Admission form stating medical diagnosis

2. Financial counselling form with
estimated total charges

3. Attending physician and procedure to be done (if any)

4. Referral letter from general practitioner or specialist (if any)

Step 2

Submit your LOG request to us via email. 

1. Email to our mailbox at shield_claims@raffleshealthinsurance.com.

Request for LOG Form (Raffles Shield)

  • DD slash MM slash YYYY
  • Drop files here or
    Max. file size: 8 MB.
      e.g. medical reports, receipts of invoices (max file size 5 MB)