Express Claims

Please download and complete the relevant claim form and fax or e-mail to your account broker.
These forms are provided in Microsoft Word .DOC format. These files can be filled out using Microsoft Word or Open Office (free).

Claim Forms

General

 

Business Insurance

 

Personal Insurance

 

Motor Vehicle Insurance

 

Assistance

If you are need of assistance, simply fill in the form displayed below
and one of our friendly staff will contact you shortly to discuss how to make an express claim.

Contact Details
  1. Enter your firstname and lastname
  2. Enter company insured under Business Insurance
  3. name@example.com
  4. e.g. Tel: XX XXXX XXXX or Mob: XXXX XXX XXX
Policy Details
  1. Enter your Insurance Policy Number
  2. Choose the claim form you require assistance with