Business | Corporate

Financial Lines Claim

Complete and submit your personalized claim form and we will get started with your claim. Asterisks (*) Indicate the required information that is compulsory to complete the submission.

Home / Business Financial Lines Claim

Policy and Insured Information

Business name

AIG policy number

Contact number

Alternative contact number

Email address

Business address

Address line 1

Address line 2

Address line 3

Address line 4

Postal code

Do you have a broker? Yes No

Broker completing the claim form? Yes No

* Brokerage name

* Brokerage branch

* Broker name

* Broker contact number

* Broker email

* Broker’s claim number

* Broker’s policy number

Home / Business Financial Lines Claim

Insured Details

Is there a subsidiary involved? Yes No

Insured Contact Information:

Contact person name

Contact person surname

Contact number

Contact alternative number

Contact email address

Home / Business Financial Lines Claim

Claimants Details

Claimant’s Name

Claimant’s Surname

Claimant’s contact number

Claimant’s alternative contact number

Address of claimant:

Address line 1

Address line 2

Address line 3

Address line 4

Postal code

Home / Business Financial Lines Claim

Details of loss / claim

* Provide us with the date of the loss

Detailed description of the incident

* Date notified to Insured

* Date Insured became aware of incident

What is the approximate value of your total claim