Notify us in case of a car accident
Find nearest workshop
Personal Info
Claim Type
Own Damage Claim
Own Damage KFK Claim
Theft Claim
Notification only - There may be potential third party Property damage claim against my policy
I am claiming against Third Party
Notification only - There may be potential Bodily Injury claim against my policy
Windscreen Claim
Date Of Loss
Insured Name
Vehicle Registration Number
Email
No Email
Contact Number
** pick your claim type first **
Collision
Fire
Flood
Malicious Damage
Missing/Theft
Robbery
Self-Accident
Windscreen
Damage/Loss Type
** pick your claim type first **
I am submitting as (intimation)
Agent
Beneficiary
Broker
Claimant
Insured
Driver
Customer Service
Third Party Administrator
Marketing Officer
Upload
Driver's
NRIC or Passport
Photocopy of Driver's NRIC or Passport
Upload
Driver's
License
Photocopy of Driver's License
Upload
Insured's
NRIC or Passport
Photocopy of Insured's NRIC or Passport
Upload
Insured's
License
Photocopy of Insured's License
Upload Police Report
Please upload your police report together with this notification (except Windscreen claim)
Upload Vehicle Ownership Certificate
Vehicle Ownership Certificate
Upload Other Supportive Document
Upload Other Supportive Document
Upload Other Supportive Document
Upload Other Supportive Document
Upload Other Supportive Document
Upload Other Supportive Document
Confirmation
Confirmation
Claim Type
Motor
Date Of Loss
02/08/2019
Insured Name
Jason Smith
Vehicle Registration Number
WWW 9999
Email
abc@example.com
Mobile Number
0123456789
Damage/Loss Type
Own Damage Claim
I am submitting as (intimation)
Myself
Uploaded File
Photocopy of Driver's NRIC or Passport
Photocopy of Driver's License
Photocopy of Insured's NRIC or Passport
Photocopy of Insured's License
Police Report
Photocopy of Vehicle Ownership Certificate
Others
Others
Others
Others
Others
Others
