Business | Motor

Windscreen Claim

Sorry you have damage to your windscreen

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.

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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

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Incident Details

* Provide us with the date and time of loss

At which address did the loss take place

Use business address

Address line 1

Address line 2

Address line 3

Address line 4

Postal code

Detailed description of the incident

Extent of damage to windscreen

* Select the purpose for which the vehicle was used Personal Business

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Vehicle Details

Vehicle make

Vehicle model

License number

Year

VIN (vehicle identification number)

Engine number