Claims forms

Claims forms

 

Depending on the type of claim you're needing to make, we'll need different information.

 

If you need to make a claim, your broker is the best person to help you through the process, and ensure you provide us with the correct form.

 

Vehicle claim forms

 

Motor Vehicle Accident
​    ​Download form
Stolen or Burnt Vehicle        
 ​Download form
​Uninsured Third Party

        Download form​

 

Liability claim forms

 

Broadform Liability
Directors and Officers Liability
                Download form
Employment Practices
Fidelity
Download form
Injury or Illness
Download form​
Medical Malpractice
Download form​
Professional Indemnity
Download form​
​Statutory Liability Download form​

 

Commercial and Property claim forms

 

General ​    ​Download form
Livestock  ​Download form
​Cellphone and Portable Electronic items Download form​

 

Marine claim forms

 

Marine Hull ​    ​Download form

 

Marine Liability claims

Marine Cargo ​    ​Download form
Marine Cargo Proforma  ​Download form
Marine Carriers Liability Download form​
​Marine Household Goods Download form​

 

​Travelsurance

 

​Travelsurance ​    Download form

Stand-alone declaration forms

 

​General Declaration form ​    ​   Download form
​Motor Declaration form  ​Download form

 

Other

 

Claims Medical Certificate
           Download form​