CLAIM NOTIFICATION - Non-MOtor INSURANCE - SWAN Mauritius

Please fill in the form below

Policy No

First Name *

Last Name *

Company's Name

Address

Phone *

Fax

Email *

Date of occurrence *

Place of occurrence *

Time of occurrence

Estimates of Loss (in Rs)

Details of occurrence *

Details of Loss *

Notification to Police/Fire Brigade

Remarks

Attach document

* Mandatory fields

N.B.: This notification does not preclude you from filling the claim form and submitting to your insurance company any documents and information required from you.

SWAN Centre

10 Intendance Street
Port Louis

info@swanforlife.com

207 3500

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