Motor Insurance Claim

Report a Motor Insurance Claim

Fill the form below with the required information and one of our claims representatives will contact you shortly.

First Name *

Last Name *

Mobile Number *

Email ID *

Address in UAE *

-Select-Abu DhabiAjmanDubaiFujairahRas Al KhaimahSharjahUmm Al Quwain

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Remarks

Upload Documents
* Use Only JPG, JPEG, PNG, PDF, DOC and DOCX files. Maximum size per file 3 MB
* If you are using your camera to take pictures, please make sure to keep the resolution low to reduce the image size

Driving License (Front side) *

Driving License (Back side)

Car Registration Card (Front side) *

Car Registration Card (Back side)

Driver Emirates ID or Passport (Front side) *

Driver Emirates ID or Passport (Back side)

Police Report *

Enter the code below *

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