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Motor Claim

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Motor Claim Submission
Workshop
List of Panel Repairer
Claim Status
Claim Status
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24 Hours Emergency Contact

Please fill in your notification number

    *Only for policy with authorized workshop clause

    Please contact our claim officer to select the repairer

    Third Party Involved?  
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    * Compulsory field

    Upload document

    KTP
    SIM
    STNK
    Other

    *Required document to upload

    Upload Photo

    Front View
    Rear View
    Left View
    Right View
    Damage photo
    Chassis Number / Enginee number
    Other

    * Required photo to upload

    Disclaimer


    Make sure all the information you have entered are correct. By clicking the "Submit" button, you declare that all information are correct and MSIG can use your information for claim purposes.

    Claim Summary


    Claim Type


    Insured Name:
    Policy Number:
    Email:
    Phone Number:
    Driver Name:
    Vehicle Registration Number:
    Select Manufacturer:
    Select Model:
    Chassis Number:
    Engine Number:
    Date of Loss:
    Time of Loss:
    State:
    City:
    Repairer Name:
    Accident/Loss Place:
    Description of Accident/Loss:
    Third Party Involved?:
    Third Party Name:
    Third Party Telephone Number:

    Claim supporting document



      Disclaimer

      By ticking the box below, I declare:

      1. All the provided information are correct and I intent to provide any assistance related to my claim, as well as grant the permission to PT Asuransi MSIG Indonesia to store and process my information for claim purposes
      2. Grant PT Asuransi MSIG Indonesia the permission to use and transfer the provided information to other parties in relation to my claim processing
      3. Should payment have been made by MSIG based on the incorrect or fraudalent information or incomplete information or information not based on the fact, I concur to refund the payment to PT Asuransi MSIG Indonesia and agree that PT Asuransi MSIG Indonesia may take legal action.
      PT Asuransi MSIG Indonesia is committed to protect and honor customers privacy

      I agree

      24 Hours Emergency Contact


      Do you want to contact 1500-674?
      Note : This Mobile Phone Number only for claim motor vehicle MSIG Insurance Indonesia. For Claim Toyota Insurance, please call phone number listed on policy number.
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