Claim Submission
Policy ID
Plan
HKID English Full Name
Last Name
First Name
Mobile
Email
Policy Valid Period
22/07/2026 10:40:12 am - 22/07/2026 10:40:12 am
Trip Activation Date and Time
22/07/2026 10:40:12 am - 22/07/2026 10:40:12 am
Claim Type
Details of the Accident
Date of the Accident
22/07/2026 10:40:12 am
Location of the Accident
How did the accident happened?
Other Information
Did you file the claim at another insurance company?
No
Claim Payment Method
Cheque