Home
Testimonials
Partner Login
FAQ's
Contact Us
Corporate Information
Marine Insurance Claim
Policy Owner Details
Policyholder Type
*
Please Select
Private
Corporate
Policy Number
*
Phone No
*
Email Address
*
Address
*
City
*
State
*
Port Of Origin
*
Destination
*
Lien
*
Details of Incident
Date of Incident (yyyy-mm-dd)
*
Time of Incident
*
Where Did the Incident Occur?
*
Brief Details of Incident
*
Pictures of Incident/Damaged Goods
All Attachments Must be In PDF or JPEG Format
Upload Picture 1
Upload Picture 2
Upload Picture 3
Upload Supporting Documents(if any)
Superintendent Report
*
Statement of claim(sheet showing quantities and value of goods damaged/lost)
*
Original Bill of Lading
*
Original Suppliers Invoice and Packing List
*
Original Discrepancy Certificate
*
Original Delivery Waybill
*
Original NPA T Form 38
*
Customs Bill of Entry
*
Estimate Of Claim
*
Statement of Authenticity/Truth of Details Given Above (Please Tick Box).
*
Submit
