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Register a claim

Personal Details :

Name: * required

Surname: * required

Cell number: * required

Email address: * required


Claim :
Type of Claim: Single vehicle accident
3rd party claim where you were at fault
3rd party claim where 3rd party was at fault
Own damage accident no 3rd party involved
Theft of a motor vehicle
suffered burglary at risk address
Fire at risk address
Lightning damage
Stolen portable possessions (all risk)

SAPS accident case number:    Station:  

When was it reported:    

Estimate damage of loss:

 

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