Notify us of any claim or potential claim.

Submit all necessary claim documents to us soonest possible to help you speed up the claim submission. We strive to assist you promptly and professionally to minimize any inconvenience*.

Only 1-step to notify us on your claim!

Step 1

Fill in details and submit the required documents of your claims.

Done!

Your claim will be submitted to the insurer by the next working day.

Questions? Find your answers below

Submit your details here

Hi there, fill in the form and we’ll be in touch soonest we can. 

    Claim Type*

    Jenis Tuntutan*

    索赔类型*

    Date Of Loss

    Tarikh Kehilangan*

    丢失日期*

    Insured Name*

    Nama Diinsuranskan*

    被保险人姓名*

    NRIC / Passport / Company Reg. No. *

    No.KP / Pasport / No Pendaftaran Syarikat*

    身份证/护照/公司注册号*

    Insurance Company Name*

    Nama Panel Insurans*

    保险公司名称*

    Vehicle Registration No. (For Motor Insurance only)

    No. Pendaftaran Kenderaan (Untuk Insurans Motor sahaja)

    车辆登记号(仅用于汽车保险)

    Email Address*

    Alamat Email*

    电邮地址*

    Mobile No*

    No. Telefon Bimbit*

    手机号码*

    Upload required Document (eg. Police report and other related document) *

    Muat naik dokumen yang diperlukan (seperti laporan polis dan dokumen lain yang berkaitan)*

    上传所需文件(例如警方报告和其他相关文件)*

    Remarks/Request*

    Tanda/Permintaan*

    备注/要求*

    * As we are not the insurer, we will not be able to dictate when the claim will be processed. We will however assist you as much as we can.

    Click below for claim guideline by PIAM (motor insurance)