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Submit First Notification of Loss
Claim Type
Select One
Motor Accident
Motor Theft
Motor Fire
Client Name
Contact Number
Policy Number
Vehicle Registration Number
Incident Location
Date
Point of Impact
Claim Estimate
Description of Damage and Incident Occurrence
Police Report
Yes
No
Witnesses
Yes
No
Drivable
Yes
No
Additional Vehicle Involved
Yes
No
Injuries to Claimant
Yes
No
Additional Party Injuries
Yes
No
Any Deaths
Yes
No
Send
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Dear customer, kindly note that the submission of the first notification of loss is just a notice to the insurer of a potential claim. You will be required to fill a claim form for processing of your claim.
For inquiries please call 0302 634702
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Enterprise Group