Get Motor Insurance Claim Form - Axa.com.my

Filing a motor insurance claim can be a daunting task, but with the right guidance, you can navigate the Motor Insurance Claim Form from AXA easily and efficiently. This guide will provide you with step-by-step instructions to complete the form accurately.

Follow the steps to fill out the form correctly.

1. Click 'Get Form' button to access the Motor Insurance Claim Form and open it for editing.
2. In Section A, provide the insured and driver details. Fill in the full name, email, mobile number, and correspondence address of the insured. If the driver is different from the insured, complete their name, email, mobile number, and correspondence address as well.
3. Complete the driver's details, including their GST registration number and relationship with the insured, if applicable. Ensure you provide the driving license number of the person driving at the time of the accident.
4. In Section B, detail the vehicle information. Specify the make, model, and registration number of the vehicle involved in the incident.
5. Proceed to Section C to describe the incident. Enter the date and time of the loss or damage, select the type of loss (own damage or theft), and indicate if there were any injuries.
6. Provide the location of the incident and confirm whether a police report was lodged. If it was, enter the report number. Describe the loss or accident comprehensively. Use a separate paper if more space is needed.
7. In Section D, if applicable, include your bank account details for reimbursement. Provide the account holder's name, bank name, account number, and branch.
8. In Section E, read and agree to the declaration and customer’s data privacy notice. Fill in the date and ensure the insured signs the form.
9. Review the completed form and make sure all necessary documents are prepared as outlined in the document. Once finalized, you can save changes, download, or print the form for submission.

Begin your motor insurance claim process by filling out the form online today.