Welcome to our web page on “Notifying a claim”.

Customers may use this page for notifying a claim if any and our Technical Department will be quick to respond in assisting you in the settlement of claim.

 

Name of Insured*
Address*
Name of Contact Person*
PO Box*
Emirate*	Abu Dhabi Ajman Dubai Fujairah Ras al-Khaimah Sharjah Umm al-Qaiwain
Phone
Mobile No.*
Fax
Email Address*
Policy*
Class of Business*
Nature of Loss*
Cause of Loss / Accident*
Date of Loss / Accident*	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   January February March April May June July August September October November Decsmber   2013 2012 2011 2010 2009 2008
Time of Loss / Accident*	Select Time 6:00 7:00 8:00 9:00 10:00 11:00 12:00 13:00 14:00 15:00 16:00 17:00 18:00 19:00 20:00 21:00 22:00
Please furnish Brief Details of Loss / Accident*