Life, critical illness and disability insurance
Making a critical sickness, accident-sickness or disability claim

Simply fill out this short form and our team will be in touch as soon as possible.

Your contact details

We're sorry to hear about what happened.

Before sending you a form to fill out, we’ll need some information to properly identify the file.

Who are you filling out this form for?
We’ll use your date of birth to track down your file.
We’ll use their date of birth to track down their file.

How can we assist you?

This number has 9 or 10 digits.
This number starts with S, A or 007.
This number has 9 or 10 digits.