> Private Car
> Personal Accident
> Group Personal Accident
> Liability & Financial Lines
> Corporate Travel
> Commercial Motor
> Work Injury
*Note: Each claim is unique and will be assessed based on its merit. We would, from time to time, request further information from you, for us to assess your claim. You do not need to send us original documents, however we require you to keep all original documents for 6 months from the date of submission, in the event we need to sight them. We would like to remind you, that we will deny claims that are either dishonest or of fraudulent nature, and such claims will be referred to the appropriate authorities.
Name of Policyholder*
Bank SWIFT Code*
Account Holder's Name*
Please provide your bank details for faster claims processing. Once approved, your claim amount will be credited into your bank account.
We will only credit into the Policyholder’s/Insured Person’s account.
Notification of payment will be sent to your email address stated in your details. The company shall:
(i) be discharged from all liability under this claim and
(ii) not be liable for any and all losses incurred by you, as a result of you providing the company with inaccurate bank account number under this section for the payment of this claim.
Photographs showing the extent of the damage and the point of entry into and exit from the premises (for burglary claims only)* (jpg, png, tif, gif, pdf, zip)
Original loss/damage report from the police or other relevant authorities* (jpg, png, tif, gif, pdf, zip)
Original supporting documents showing the value of the lost or damaged item(s) * (jpg, png, tif, gif, pdf, zip)
Original repair quotation(s), if the damaged property can be repaired * (jpg, png, tif, gif, pdf, zip)
Original purchase receipt(s) and replacement quotation(s), if the damaged property needs to be replaced * (jpg, png, tif, gif, pdf, zip)
Inhouse investigation * (jpg, png, tif, gif, pdf, zip)
Contractor's report stating the cause of damage * (jpg, png, tif, gif, pdf, zip)
Any other supporting document (1) (jpg, png, tif, gif, pdf, zip)
Any other supporting document (2) (jpg, png, tif, gif, pdf, zip)
Please note that this procedure is only intended as a guide. Each claim submitted to ERGO will be reviewed based on its own merits in accordance with the concerned policy terms and conditions. We reserve our right to request for additional documents and/or information on a case-by-case basis.
Kindly note that it may take longer to process a claim if we require additional information or documents from you. For any claims enquiry, amendment of details or submission of supporting or original documents, please email our friendly claims officers at firstname.lastname@example.org with our policy number.
Imp Note: The acceptance of this online claim form does NOT constitute an admission of liability by ERGO Insurance Pte Ltd. or waiver of its rights.
Phone: +65 6829 9199/ +65 98276193 (office hours)
Fax:+65 6829 9247
8:30am – 5:30pm (Mon-Fri)
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