Travel Insurance Claim - ERGO Insurance Pte. Ltd.

Travel Insurance – Online Claim Submission

Simply submit your claims via our online claim portal by following simple steps indicated below. Before you start the online submission please click here to see the list of supporting documents required to be uploaded for each claim type. You can quickly take a photo of the supporting documents with your mobile phone (or with your laptop!). No more filling up of lengthy claim form or mailing the hardcopy of your supporting documents*. Just submit online, sit back and relax while we work on your claim.

*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.

Select Claim Type

Medical

Theft or damage to personal belongings

Travel disruptions

Total and permanent disability

Death

Other benefits

Personal Information

Policy Number*

Name of Claimant*

NRIC*

Mobile Number*

Your Email*

Your Address*

Claims Payment

Name of Bank*

Bank SWIFT Code*

Account Number*

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.

Medical

Select Claim Subtype*

Date of Accident / Illness*

Place of Accident / Illness*

Nature of Injury / Illness*

Upload Supporting Documents

If your medical claim value is above SGD$200, Please mail your original documents to Claims Department. For all other claims types 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.

Flight Itinerary or Boarding Pass (JPG, PNG, TIF, GIF, PDF, ZIP)

Medical Report or Inpatient Discharge Summary (JPG, PNG, TIF, GIF, PDF, ZIP)

Declaration and Submission

By submitting this claim form online, you:

declare that the particulars stated above are true, accurate and complete and understand that if you have in this or in any further declaration in respect of this claim, made any false or fraudulent statement or suppress conceal or falsely state any material fact whatsoever my claim may be refused.
authorise any person or organisation who has relevant information on this claim, including any medical practitioner, health care provider, insurance company and investigative agencies, to release and exchange such information (including personal health information) requested by ERGO Insurance and/or its claims service providers.
authorise ERGO Insurance and its claims service providers to collect, use, disclose and/or process your personal data set out in this form and any other information provided by you or possessed by ERGO Insurance for the purpose of enabling ERGO to provide you with services required of an insurance provider, such as evaluating, processing, administering, and/or managing of your relationship and policies with ERGO Insurance. This includes among other things policy servicing, processing, investigating, handling, administering and/or settling your claim with ERGO or other insurers.
understand that ERGO Insurance may/will disclose and transfer your personal data to third parties, including but not limited to its affiliates, representatives, agents and third party service providers, lawyers/law firms, whether located within or outside Singapore, for one or more of the above purposes, and the said third parties may/will subsequently collect, use, disclose and/or process your personal data for or more of the above purposes;
accept that the personal data protection clauses herein are not exhaustive and you have read, understood and accept the terms of ERGO’s Personal Data Protection Policy at https://www.ergo.com.sg/pdpa;
confirm that you are authorised to disclose information (including personal health information) about the insured person if this claim is made on behalf of them.
confirm that you or the insured person is not claiming from any other insurance policy or on your or insured person's employment benefits provided by your or insured person’s employer.

I Agree

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.

Personal Information

Policy Number*

Name of Claimant*

NRIC*

Mobile Number*

Your Email*

Your Address*

Claims Payment

Name of Bank*

Bank SWIFT Code*

Account Number*

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.

Theft or Damage to Personal Belongings

Select Claim Subtype*

Date of Incident*

Place of Incident*

Description of Incident*

Description of Item(s) you lost:

(1) Item*

(1) Amount (S$)*

(2) Item

(2) Amount (S$)

(3) Item

(3) Amount (S$)

(4) Item

(4) Amount (S$)

(5) Item

(5) Amount (S$)

Upload Supporting Documents

If your medical claim value is above SGD$200, Please mail your original documents to Claims Department. For all other claims types 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.

Flight Itinerary or Boarding Pass (JPG, PNG, TIF, GIF, PDF, ZIP)

Report to the Airline (JPG, PNG, TIF, GIF, PDF, ZIP)

Proof of denial or compensation by the Airline (JPG, PNG, TIF, GIF, PDF, ZIP)

Original invoice for the lost item(1) (JPG, PNG, TIF, GIF, PDF, ZIP)

Original invoice for the lost item(2) (JPG, PNG, TIF, GIF, PDF, ZIP)

Original invoice for the lost item(3) (JPG, PNG, TIF, GIF, PDF, ZIP)

Original invoice for the lost item(4) (JPG, PNG, TIF, GIF, PDF, ZIP)

Original invoice for the lost item(5) (JPG, PNG, TIF, GIF, PDF, ZIP)

Date of Incident*

Place of Incident*

Description of Incident*

Description of Item(s) Damaged:

(1) Item*

(1) Amount (S$)*

(2) Item

(2) Amount (S$)

(3) Item

(3) Amount (S$)

(4) Item

(4) Amount (S$)

(5) Item

(5) Amount (S$)

Upload Supporting Documents

If your medical claim value is above SGD$200, Please mail your original documents to Claims Department. For all other claims types 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.

Flight Itinerary or Boarding Pass (JPG, PNG, TIF, GIF, PDF, ZIP)

Baggage damage report from the Airline (JPG, PNG, TIF, GIF, PDF, ZIP)

Proof of denial or compensation by the Airline (JPG, PNG, TIF, GIF, PDF, ZIP)

Original invoice for the damaged item(1) (JPG, PNG, TIF, GIF, PDF, ZIP)

Original invoice for the damaged item(2) (JPG, PNG, TIF, GIF, PDF, ZIP)

Original invoice for the damaged item(3) (JPG, PNG, TIF, GIF, PDF, ZIP)

Original invoice for the damaged item(4) (JPG, PNG, TIF, GIF, PDF, ZIP)

Original invoice for the damaged item(5) (JPG, PNG, TIF, GIF, PDF, ZIP)

Coloured photographs of damaged item(1) (JPG, PNG, TIF, GIF, PDF, ZIP)

Coloured photographs of damaged item(2) (JPG, PNG, TIF, GIF, PDF, ZIP)

Coloured photographs of damaged item(3) (JPG, PNG, TIF, GIF, PDF, ZIP)

Coloured photographs of damaged item(4) (JPG, PNG, TIF, GIF, PDF, ZIP)

Coloured photographs of damaged item(5) (JPG, PNG, TIF, GIF, PDF, ZIP)

Date of Incident*

Place of Incident*

Description of Incident*

Amount you wish to claim (S$)*

Upload Supporting Documents

If your medical claim value is above SGD$200, Please mail your original documents to Claims Department. For all other claims types 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.

Flight Itinerary or Boarding Pass (JPG, PNG, TIF, GIF, PDF, ZIP)

Police or Relevant Report Lodged Overseas (JPG, PNG, TIF, GIF, PDF, ZIP)

Date of Incident*

Place of Incident*

Description of Incident*

Amount spent on replacing travel documents (S$)*

Upload Supporting Documents

If your medical claim value is above SGD$200, Please mail your original documents to Claims Department. For all other claims types 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.

Flight Itinerary or Boarding Pass (JPG, PNG, TIF, GIF, PDF, ZIP)

Police or Relevant Report Lodged Overseas (JPG, PNG, TIF, GIF, PDF, ZIP)

Receipts issued from the consulate for the replacement/temporary passports (JPG, PNG, TIF, GIF, PDF, ZIP)

Upload Supporting Documents

If your medical claim value is above SGD$200, Please mail your original documents to Claims Department. For all other claims types 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.

Flight Itinerary or Boarding Pass (JPG, PNG, TIF, GIF, PDF, ZIP)

Police report for the stolen item(1) lodged overseas (JPG, PNG, TIF, GIF, PDF, ZIP)

Police report for the stolen item(2) lodged overseas (JPG, PNG, TIF, GIF, PDF, ZIP)

Police report for the stolen item(3) lodged overseas (JPG, PNG, TIF, GIF, PDF, ZIP)

Police report for the stolen item(4) lodged overseas (JPG, PNG, TIF, GIF, PDF, ZIP)

Police report for the stolen item(5) lodged overseas (JPG, PNG, TIF, GIF, PDF, ZIP)

Original invoice for the stolen item(1) (JPG, PNG, TIF, GIF, PDF, ZIP)

Original invoice for the stolen item(2) (JPG, PNG, TIF, GIF, PDF, ZIP)

Original invoice for the stolen item(3) (JPG, PNG, TIF, GIF, PDF, ZIP)

Original invoice for the stolen item(4) (JPG, PNG, TIF, GIF, PDF, ZIP)

Original invoice for the stolen item(5) (JPG, PNG, TIF, GIF, PDF, ZIP)

Declaration and Submission

By submitting this claim form online, you:

declare that the particulars stated above are true, accurate and complete and understand that if you have in this or in any further declaration in respect of this claim, made any false or fraudulent statement or suppress conceal or falsely state any material fact whatsoever my claim may be refused.
authorise any person or organisation who has relevant information on this claim, including any medical practitioner, health care provider, insurance company and investigative agencies, to release and exchange such information (including personal health information) requested by ERGO Insurance and/or its claims service providers.
authorise ERGO Insurance and its claims service providers to collect, use, disclose and/or process your personal data set out in this form and any other information provided by you or possessed by ERGO Insurance for the purpose of enabling ERGO to provide you with services required of an insurance provider, such as evaluating, processing, administering, and/or managing of your relationship and policies with ERGO Insurance. This includes among other things policy servicing, processing, investigating, handling, administering and/or settling your claim with ERGO or other insurers.
understand that ERGO Insurance may/will disclose and transfer your personal data to third parties, including but not limited to its affiliates, representatives, agents and third party service providers, lawyers/law firms, whether located within or outside Singapore, for one or more of the above purposes, and the said third parties may/will subsequently collect, use, disclose and/or process your personal data for or more of the above purposes;
accept that the personal data protection clauses herein are not exhaustive and you have read, understood and accept the terms of ERGO’s Personal Data Protection Policy at https://www.ergo.com.sg/pdpa/;
confirm that you are authorised to disclose information (including personal health information) about the insured person if this claim is made on behalf of them.
confirm that you or the insured person is not claiming from any other insurance policy or on your or insured person's employment benefits provided by your or insured person’s employer.

I Agree

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.

Personal Information

Policy Number*

Name of Claimant*

NRIC*

Mobile Number*

Your Email*

Your Address*

Claims Payment

Name of Bank*

Bank SWIFT Code*

Account Number*

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.

Travel Disruptions

Select Claim Subtype*

Date of event that lead to cancellation*

Reason for cancellation of your trip*

Name of the injured / ill / deceased person and the relationship to you*

Amount you wish to claim(S$)*

Upload Supporting Documents

If your medical claim value is above SGD$200, Please mail your original documents to Claims Department. For all other claims types 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.

Trip Booking Invoice (JPG, PNG, TIF, GIF, PDF, ZIP)

Travel agency or arline conformation on the cost of non-refundable prepaid travelling expenses (JPG, PNG, TIF, GIF, PDF, ZIP)

Written medical advice or medical certificate from your attending doctor confirming that you were unfit to travel(for cases of serious injury or illness) (JPG, PNG, TIF, GIF, PDF, ZIP)

Death certificate of Policyholder's or Insured Person's family members (JPG, PNG, TIF, GIF, PDF, ZIP)

Date of event that lead to postponement or curtailment*

Reason for postponement or curtailment of your trip*

Name of the injured / ill / deceased person and the relationship to you*

Amount you wish to claim(S$)*

Upload Supporting Documents

If your medical claim value is above SGD$200, Please mail your original documents to Claims Department. For all other claims types 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.

Trip Booking Invoice (JPG, PNG, TIF, GIF, PDF, ZIP)

Travel agency or arline conformation on the cost of non-refundable prepaid travelling expenses (JPG, PNG, TIF, GIF, PDF, ZIP)

Written medical advice or medical certificate from your attending doctor confirming that you were unfit to travel(for cases of serious injury or illness) (JPG, PNG, TIF, GIF, PDF, ZIP)

Death certificate of Policyholder's or Insured Person's family members (JPG, PNG, TIF, GIF, PDF, ZIP)

Upload Supporting Documents

If your medical claim value is above SGD$200, Please mail your original documents to Claims Department. For all other claims types 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.

Itinerary (JPG, PNG, TIF, GIF, PDF, ZIP)

Re-scheduled boarding pass (JPG, PNG, TIF, GIF, PDF, ZIP)

Copies of written proof from the public transport operator or their handling agents stating the number of hours you were delayed along with the reason for the delay (JPG, PNG, TIF, GIF, PDF, ZIP)

Date of loss of deposit*

Reason for loss of deposit*

Amount you wish to claim(S$)*

Upload Supporting Documents

If your medical claim value is above SGD$200, Please mail your original documents to Claims Department. For all other claims types 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.

Trip booking invoice or event ticket (JPG, PNG, TIF, GIF, PDF, ZIP)

Travel Agency or airline confirmation of non-refundable prepaid travelling expenses (JPG, PNG, TIF, GIF, PDF, ZIP)

Event company confirmation on the cost of non-refundable expenses (JPG, PNG, TIF, GIF, PDF, ZIP)

Boarding pass (JPG, PNG, TIF, GIF, PDF, ZIP) :

Copies of written proof from the public transport operator or their handling agents stating the number of hours you were without your baggage with the reason for the baggage delay (JPG, PNG, TIF, GIF, PDF, ZIP) :

Declaration and Submission

By submitting this claim form online, you:

declare that the particulars stated above are true, accurate and complete and understand that if you have in this or in any further declaration in respect of this claim, made any false or fraudulent statement or suppress conceal or falsely state any material fact whatsoever my claim may be refused.
authorise any person or organisation who has relevant information on this claim, including any medical practitioner, health care provider, insurance company and investigative agencies, to release and exchange such information (including personal health information) requested by ERGO Insurance and/or its claims service providers.
authorise ERGO Insurance and its claims service providers to collect, use, disclose and/or process your personal data set out in this form and any other information provided by you or possessed by ERGO Insurance for the purpose of enabling ERGO to provide you with services required of an insurance provider, such as evaluating, processing, administering, and/or managing of your relationship and policies with ERGO Insurance. This includes among other things policy servicing, processing, investigating, handling, administering and/or settling your claim with ERGO or other insurers.
understand that ERGO Insurance may/will disclose and transfer your personal data to third parties, including but not limited to its affiliates, representatives, agents and third party service providers, lawyers/law firms, whether located within or outside Singapore, for one or more of the above purposes, and the said third parties may/will subsequently collect, use, disclose and/or process your personal data for or more of the above purposes;
accept that the personal data protection clauses herein are not exhaustive and you have read, understood and accept the terms of ERGO’s Personal Data Protection Policy at https://www.ergo.com.sg/pdpa;
confirm that you are authorised to disclose information (including personal health information) about the insured person if this claim is made on behalf of them.
confirm that you or the insured person is not claiming from any other insurance policy or on your or insured person's employment benefits provided by your or insured person’s employer.

I Agree

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.

Personal Information

Policy Number*

Name of Claimant*

NRIC*

Mobile Number*

Your Email*

Your Address*

Claims Payment

Name of Bank*

Bank SWIFT Code*

Account Number*

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.

Declaration and Submission

By submitting this claim form online, you:

declare that the particulars stated above are true, accurate and complete and understand that if you have in this or in any further declaration in respect of this claim, made any false or fraudulent statement or suppress conceal or falsely state any material fact whatsoever my claim may be refused.
authorise any person or organisation who has relevant information on this claim, including any medical practitioner, health care provider, insurance company and investigative agencies, to release and exchange such information (including personal health information) requested by ERGO Insurance and/or its claims service providers.
authorise ERGO Insurance and its claims service providers to collect, use, disclose and/or process your personal data set out in this form and any other information provided by you or possessed by ERGO Insurance for the purpose of enabling ERGO to provide you with services required of an insurance provider, such as evaluating, processing, administering, and/or managing of your relationship and policies with ERGO Insurance. This includes among other things policy servicing, processing, investigating, handling, administering and/or settling your claim with ERGO or other insurers.
understand that ERGO Insurance may/will disclose and transfer your personal data to third parties, including but not limited to its affiliates, representatives, agents and third party service providers, lawyers/law firms, whether located within or outside Singapore, for one or more of the above purposes, and the said third parties may/will subsequently collect, use, disclose and/or process your personal data for or more of the above purposes;
accept that the personal data protection clauses herein are not exhaustive and you have read, understood and accept the terms of ERGO’s Personal Data Protection Policy at https://www.ergo.com.sg/pdpa;
confirm that you are authorised to disclose information (including personal health information) about the insured person if this claim is made on behalf of them.
confirm that you or the insured person is not claiming from any other insurance policy or on your or insured person's employment benefits provided by your or insured person’s employer.

I Agree

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.

Personal Information

Policy Number*

Name of Claimant*

NRIC*

Mobile Number*

Your Email*

Your Address*

Claims Payment

Name of Bank*

Bank SWIFT Code*

Account Number*

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.

Declaration and Submission

By submitting this claim form online, you:

declare that the particulars stated above are true, accurate and complete and understand that if you have in this or in any further declaration in respect of this claim, made any false or fraudulent statement or suppress conceal or falsely state any material fact whatsoever my claim may be refused.
authorise any person or organisation who has relevant information on this claim, including any medical practitioner, health care provider, insurance company and investigative agencies, to release and exchange such information (including personal health information) requested by ERGO Insurance and/or its claims service providers.
authorise ERGO Insurance and its claims service providers to collect, use, disclose and/or process your personal data set out in this form and any other information provided by you or possessed by ERGO Insurance for the purpose of enabling ERGO to provide you with services required of an insurance provider, such as evaluating, processing, administering, and/or managing of your relationship and policies with ERGO Insurance. This includes among other things policy servicing, processing, investigating, handling, administering and/or settling your claim with ERGO or other insurers.
understand that ERGO Insurance may/will disclose and transfer your personal data to third parties, including but not limited to its affiliates, representatives, agents and third party service providers, lawyers/law firms, whether located within or outside Singapore, for one or more of the above purposes, and the said third parties may/will subsequently collect, use, disclose and/or process your personal data for or more of the above purposes;
accept that the personal data protection clauses herein are not exhaustive and you have read, understood and accept the terms of ERGO’s Personal Data Protection Policy at https://www.ergo.com.sg/pdpa;
confirm that you are authorised to disclose information (including personal health information) about the insured person if this claim is made on behalf of them.
confirm that you or the insured person is not claiming from any other insurance policy or on your or insured person's employment benefits provided by your or insured person’s employer.

I Agree

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.

Personal Information

Policy Number*

Name of Claimant*

NRIC*

Mobile Number*

Your Email*

Your Address*

Claims Payment

Name of Bank*

Bank SWIFT Code*

Account Number*

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.

Other Benefits

Select Claim Subtype*

Name of the Third Party*

Amount you wish to claim (S$)*

Did you or an insured person cause damage or injury to the third party
If Yes, please let us know how the incident happened

Did you make any payment to the third party?
If Yes, please provide us your reason for making payment

Upload Supporting Documents

If your medical claim value is above SGD$200, Please mail your original documents to Claims Department. For all other claims types 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.

Overseas police and / or incident report (JPG, PNG, TIF, GIF, PDF, ZIP)

Correspondence from the third party (including Letter of Demand and Court) (Local / Overseas) or other important document (JPG, PNG, TIF, GIF, PDF, ZIP)

Please describe the incident or circumstances that led you to make this claim*

Upload Supporting Documents

If your medical claim value is above SGD$200, Please mail your original documents to Claims Department. For all other claims types 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.

Rental vehicle agreement (JPG, PNG, TIF, GIF, PDF, ZIP)

Rental vehicle excess receipt (JPG, PNG, TIF, GIF, PDF, ZIP)

Overseas police report, if relates to road accident (JPG, PNG, TIF, GIF, PDF, ZIP)

Please provide us a brief on the emergency incident that leads you to make this claim*

Upload Supporting Documents

If your medical claim value is above SGD$200, Please mail your original documents to Claims Department. For all other claims types 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.

Telephone bill indicating the Calls made (JPG, PNG, TIF, GIF, PDF, ZIP)

When did you discover the incident*

How did you find out that your card had been misused*

Amount you wish to claim (S$)*

Upload Supporting Documents

If your medical claim value is above SGD$200, Please mail your original documents to Claims Department. For all other claims types 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.

Flight itinerary or boarding pass (JPG, PNG, TIF, GIF, PDF, ZIP)

Credit card statement highlighting the misused transactions(s) (JPG, PNG, TIF, GIF, PDF, ZIP)

Copy of the Report to the police and credit card(s) issuer (JPG, PNG, TIF, GIF, PDF, ZIP)

Date of trip delay*

Reason for your delayed arrival in Singapore*

Upload Supporting Documents

If your medical claim value is above SGD$200, Please mail your original documents to Claims Department. For all other claims types 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.

Flight itinerary (JPG, PNG, TIF, GIF, PDF, ZIP)

Re-Scheduled boarding pass (JPG, PNG, TIF, GIF, PDF, ZIP)

Date of incident*

Location of incident*

Description of incident*

Is the accident due to carelessness, or negligence on your part?
If Yes, please let us know how the incident happened

Is other insurance covering the property concerned?
If Yes, please provide the name of the insurance company, policy name and policy number

Upload Supporting Documents

If your medical claim value is above SGD$200, Please mail your original documents to Claims Department. For all other claims types 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.

Flight itinerary or boarding pass (JPG, PNG, TIF, GIF, PDF, ZIP)

Police report / results (JPG, PNG, TIF, GIF, PDF, ZIP)

Original invoices / purchase receipt of items (JPG, PNG, TIF, GIF, PDF, ZIP)

Quotation for repair / replacement (JPG, PNG, TIF, GIF, PDF, ZIP)

Coloured photographs of Damage items (JPG, PNG, TIF, GIF, PDF, ZIP)

Declaration and Submission

By submitting this claim form online, you:

declare that the particulars stated above are true, accurate and complete and understand that if you have in this or in any further declaration in respect of this claim, made any false or fraudulent statement or suppress conceal or falsely state any material fact whatsoever my claim may be refused.
authorise any person or organisation who has relevant information on this claim, including any medical practitioner, health care provider, insurance company and investigative agencies, to release and exchange such information (including personal health information) requested by ERGO Insurance and/or its claims service providers.
authorise ERGO Insurance and its claims service providers to collect, use, disclose and/or process your personal data set out in this form and any other information provided by you or possessed by ERGO Insurance for the purpose of enabling ERGO to provide you with services required of an insurance provider, such as evaluating, processing, administering, and/or managing of your relationship and policies with ERGO Insurance. This includes among other things policy servicing, processing, investigating, handling, administering and/or settling your claim with ERGO or other insurers.
understand that ERGO Insurance may/will disclose and transfer your personal data to third parties, including but not limited to its affiliates, representatives, agents and third party service providers, lawyers/law firms, whether located within or outside Singapore, for one or more of the above purposes, and the said third parties may/will subsequently collect, use, disclose and/or process your personal data for or more of the above purposes;
accept that the personal data protection clauses herein are not exhaustive and you have read, understood and accept the terms of ERGO’s Personal Data Protection Policy at https://www.ergo.com.sg/pdpa;
confirm that you are authorised to disclose information (including personal health information) about the insured person if this claim is made on behalf of them.
confirm that you or the insured person is not claiming from any other insurance policy or on your or insured person's employment benefits provided by your or insured person’s employer.

I Agree

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.

Travel Insurance – Online Claim Submission

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Medical

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Theft or Damage to Personal Belongings

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Travel Disruptions

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Other Benefits

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