To make a claim, please click on the relevant link and read through and download the claim form.
Fill in the claim form and forward it to us along with the required documents.
- Report the accident or theft to the Police immediately but not later than 24 hours and obtain a police
abstract - Report the accident to CIC immediately through our helpline +211 919 340 340
- Do Not Accept liability in case of an accident
- Call +211 919 340 340 if you need to tow the vehicle from the scene of the accident (for comprehensive insurance only)
- Clear with the police and take the vehicle to any of our recommended garages within Juba (if outside Juba take the vehicle to a garage of your choice) and Notify us through our helpline +211 919 340 340.
- Complete and return a claim form obtainable in all our offices and website.
- Attach the Police Abstract and a copy of the driving license of the person who was driving the vehicle at the time of the accident or loss.
Download motor claims form
REQUIRED DOCUMENTS
- Original police abstract
- Copy of the diving license for the person driving the vehicle during the accident
- Policy excess
- Assessor’s report
CLAIM PROCESS
- Report to the police immediately and obtain a police abstract
- Report the loss to CIC immediately through the given emergency or toll-free numbers
- Complete and return a claim form obtainable in all our offices and web site giving the replacement cost of lost property
- Attach a statement from a watchman/guard or any witnesses
Download fire & theft claims form
REQUIRED DOCUMENTS
- Police abstract
- Replacement quotation
- Witness statement
- Adjustment report
CLAIM PROCESS
- Report the accident to CIC immediately through the given emergency or toll-free numbers
- Follow the same with a written notification as one awaits to heal
- Complete and return a claim form obtainable in all our offices and web site attaching doctor’s prescription and medical bills receipts after a clean bill of health
- Attach a police abstract if it was a road traffic accident or assult
- Attach copy of death certificate if the accident was fatal
- Attach copies of pay slips for the previous three months before the accident if the cover is arranged on salary basis
Download personal/group accident claims form
REQUIRED DOCUMENTS
- PA/ PA
- Original medical expenses receipts
- Payslips for 3 months prior to the accident(for employees only)
- Police Abstract if injuries are due to a road traffic accident or assault
- Death certificate in case of a fatal accident
CLAIM PROCESS
- Report the accident to CIC immediately through the given emergency or toll-free numbers
- Follow the same with a written notification as one awaits to heal
- Complete and return a claim form obtainable in all our offices and website
- Attach doctor’s prescription and medical bills receipts
- Attach a police abstract if it was a road traffic accident or assault
- Attach a copy of the death certificate if the accident was fatal
- Attach copies of payslips for the previous three months before the accident if the cover is arranged on a salary basis
REQUIRED DOCUMENTS
- Agreement between the employer and employee
- Payslip for 3 months prior to the accident
- Police Abstract
- Death certificate where applicable
- Original medical expenses receipts