Please allow up to 5 minutes to complete the form.


Important information about how to complete this claim form:

  • This claim form must be completed by a named Insured under the policy.
  • All answers to questions and information provided by the Claimant must be an honest, accurate, true and correct representation of facts.
  • You must substantiate your claim by submitting original receipts and invoices issued by legitimate and verifiable providers.
  • You acknowledge that any misrepresentation of facts may be investigated by Us and any alleged unlawful misrepresentation reported to the relevant authorities.
  • You must be the legitimate beneficiary of any claim settlement.


Already Lodged A Claim?

Add attachment to an existing claim


1. Your Details

  • Please enter international dialing code if overseas

2. Your Claim

3. Your Expenses

4. Your Payment Details