How to make a claim

The claims form is available below for your convenience should you suffer from any fortuitous event covered by our company. To make a claim , simply write down the details, send us the claim form, and we'll do the rest . We hope that this facility will help you save time and give you an enhanced level of service. (All fields are mandatory.  Specify 'N/A' if detail is not there).
 

Details of the Insurer

Name and Address of Insured
(If different from the Policy)

 

Contact Details

Email

Persons to be contacted

Relation to the Insured

Policy No:
(Type of Policy if no. not available)

Date and time when loss had occurred/ was first noticed:

Location / Place where loss has occurred:

Nearest Landmarks

Where can the loss be inspected
Brief description of loss
Items affected due to the loss (vehicle No, if , motor claim):
Estimate of Loss:
Cause of Loss:
Details of any injuries involved /  TP liability, (in case of motor claim):

Any other relevant information:

 
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