ONLINE CLAIM NOTIFICATION

Welcome to the Online Claim Notification of Standard Insurance! Please complete the form below to facilitate the notification of your claim. Our Claims Representative will immediately get in touch with you regarding this claim. Thank you.

Pioneer Insurance

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Mercantile Insurance

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Malayan Insurance

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I. Policy Holder Details

Policy Number

Policy Holder Name

Contact Details

Kindly provide an email address and at least one contact number, so that we can get back to you regarding your claim.

Residence Number

Mobile Number

Office Number

Fax Number

II. Details of Claim/Loss

Estimated Time of Loss

Date of Loss

Place of Loss

Brief Description of the Circumstances of Loss

III. Claim Notified By

Untitled

Policy Holder

Representative of Policy Holder

IV. Upload Claim Documents

Click here for the list of claim requirements.

File

Drop files here or

Max. file size: 10 MB.

File types: doc, docx, txt, xls, xlsx, jpg, jpeg, png, pdf; Max per file size: 10MB; File name must only contain 100 characters including the file extension