Submit a Claim

Complete the form below to submit your insurance claim. We'll process it as quickly as possible.

1Claim Info

2Incident

3Loss Details

4Documents

5Review

Claim Information

Claim Type *

Policy Number *

Incident Date *

Incident Time

Incident Location

Description *

Cause of Loss *

Incident Details

Were authorities notified? *

No Yes

Property Damaged

Estimated Value (KES) *

Damage Description *

Repair Shop / Hospital

Third Party Involved?

No Yes

Payment Details

Provide bank or mobile money details for claim payout.

Bank Name

Account Holder Name

Account Number

Mobile Money (M-Pesa) Number

Upload Documents

Upload supporting documents (PDF, JPG, PNG). Max 5MB per file.

Drag files here or

Your Details & Declaration

Full Name *

Phone *

Email *

National ID

Address

I declare that the information provided is true and accurate to the best of my knowledge. I understand that providing false information may result in claim rejection.