CLAIM Forms
CLAIMS Requirements
- Copy of current Driving Permit
- Completion of the claim form
- Our inspection of the motor vehicle(s)
- Police Reports where necessary
- An estimate of repair from a garage of your choice where repairs are likely to be done
- Two Estimates / Quotations
- Police Report / Appropriate Authority Report
- Original Medical reports
- LD forms from labour office
- Original medical receipt (medical claims)
- Post-mortem and death certificate where applicable
- Statement from employer on accident/death
- Pay slip of insured person/claimant
- Pay slips of the previous 2 months
- Employee ID
- Approved sick leave forms
- Police Report
- Carrier/Transporters Statement
- Letter from client to carrier/transporters
- Bill of Lading
- Invoices
- Police/Appropriate Authority Report e.g. Local council report
- Medical Reports
- Original medical receipts
- Post-mortem and death certificate (death)
- Statement of Employer on accident / death
- Pay slip of insured person or claimant
- Police Report / Appropriate Authority report
- Estimates of repairs or invoices for replacement of loss / damaged item(s)
How to CLAIM from your policy
Use the following Procedure
- Motor: Should any accident occur involving your vehicle you should immediately notify your account handler/agent/broker, office and Police giving details of the accident and location.
- Accident: You should also do the same as for Motor Insurance. With Group Personal Accident, medical forms should accompany the claim but in case of death a post-mortem report and death certificate must be submitted for settlement of the claim.
- Worker’s Compensation/Group Personal Accident: In case a worker sustains injuries, the District Labour Office should be immediately notified. A doctor’s report should be submitted along with the LD forms.
- Fire/Marine, Goods-in-Transit/Miscellaneous Risks: The report should be made immediately to us and the Police.
Do not do the following
- Accept liability
- State the accident was your fault
- Repair or replace lost or damaged property without authority from Statewide Insurance Company Ltd
- Dispose damaged property and or salvage without authority from Statewide Insurance Company Ltd
- Rely on police or local authority to report your accident to us. Report to us yourself
- Fail to pursue recovery from third parties as this will affect your overall experience.