Claim Consultation Payment

Payments

Contact Details

If you are our current customer all claims, consultation and processing is our responsibility and is complimentary.

If you are not our customer and need immediate attention and advice on claims handling, you may utilize our service as below.

Please provide us with your contact details so that we can send you a confirmation email or sms.

Name: ^
 
Company:
 
Designation:
 
Phone No:
 
Email: ^
 
Message: ^

Payment Details

Policy No ^ Product Type ^ Amount ($) ^

^ Denotes mandatory fields