Combined Insurance Claim Forms Printable – Any person who knowingly and with intent to injure, defraud, or deceive an insurance. Download the claim form for accident, critical illness, disability or hospital indemnity claims. Download a printable pdf form to file a claim for accident or sickness with combined insurance. Download and print a claim form for accident and health benefits from combined insurance. For a sickness claim, the primary physician must complete the form, providing the diagnosis, how. Print all six pages of the claim form. Complete the first page of the.