Contact us

0861 366 377

ROADSIDE ASSISTANCE

0861 777 708

CLAIM FORMS

Claims can be registered telephonically by contacting our offices on 011 748 4700. The following Claim Forms can also be completed and returned to This email address is being protected from spambots. You need JavaScript enabled to view it. 

 

Motor Accident Claim Form
Motor Theft Claim Form
Property Loss/Damage Claim Form

Please note that you require Adobe Reader version 9 and above if you wish to complete these forms electronically. Please click here to download or update Adobe Reader.