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ONLY FOR MANUAL SUBMISSION PAYMENT DIRECTLY TO POLICYHOLDER Serial No. RHB INSURANCE BERHAD Co. No. 38000-U LEVEL 12 WEST WING THE ICON NO. 1 JALAN 1/68F JALAN TUN RAZAK 55000 KUALA LUMPUR TEL 603-2180 3000 FAX Claims 03-2161 6322 CLAIM FORM - WINDSCREEN Vehicle No. Policy No. Policy Inception Date Windscreen Sum Insured Particulars of Insured / Driver Name of Insured Name of Driver If driver is not the insured Contact No. Relationship Particular of Accident / Loss Date of Loss Cost of Repair Circumstances of Accident Signature of Driver Signature of Policyholder Date Documents checklist Compulsory / Optional Completed Claim Form duly signed/stamped by the Insured and driver Original invoice with breakdown for cost of glass and labor / tinting both old and new Clear photographs showing the damaged windscreen before repair/replacement in the midst of repair/replacement dismantled damaged windscreen after repair/replacement showing the brand logo and photograph of road tax tinted film pe....

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How to fill out the Eims Rhb online

Filling out the Eims Rhb claim form for windscreen damage is an essential step in processing your claim effectively. This guide offers a detailed walkthrough of each component in the form, ensuring users understand how to complete it accurately.

Follow the steps to complete the Eims Rhb claim form

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering the serial number assigned to your claim at the top of the form. This number helps to track your claim efficiently.
  3. In the section labeled 'RHB Insurance Berhad,' fill in the vehicle number. Ensure that this matches the registration details to avoid discrepancies.
  4. Next, input your policy number. This number is critical in linking your claim to your insurance policy.
  5. Provide the policy inception date. This date marks when your insurance coverage began.
  6. Fill in the windscreen sum insured. This is the amount covered under your policy for the windscreen replacement or repair.
  7. In the 'Particulars of Insured / Driver' section, enter the name of the insured and, if applicable, the name of the driver. Be sure to include accurate contact numbers.
  8. Indicate the relationship of the driver to the insured, if the driver is not the insured party.
  9. In the 'Particular of Accident / Loss' section, document the date of loss, cost of repair, and a description of the circumstances surrounding the accident.
  10. Secure signatures from both the driver and the policyholder. This step is crucial for the validity of your claim.
  11. Collect all required documents as listed in the checklist, ensuring that each item is either compulsory or optional as specified.
  12. Save changes to your completed form, and then choose to either download, print, or share it as needed for submission.

Complete your Eims Rhb claim form online today to expedite your claim process.

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