Please select which sections you wish to claim under
(multiple selections can be selected)
Please select the type of claim you
want to lodge
Tell Us About Your Overseas Medical and Dental Claim
Tell us the date when this medical event occurred
What country did this medical event occur in?
Specific Location/ Whereabouts/ City of Incident
Was someone else at fault or liable for the incident under 'Medical & Hospital Expenses'?
Police or event number
Vehicle registration number
Insurance details of third party
Tell Us About Your Cancellation Claim
When did this cancellation occur?
In which country did this event happen?
Specific Location/ Whereabouts/ City of Incident
Tell Us About Your Additional Accomodation & Travel Expenses Claim
When did this incident occur?
In which country did this event happen?
Specific Location/ Whereabouts/ City of Incident
Tell Us About Your Luggage & Personal Effects Claim
When did this incident occur?
In which country did this event happen?
Specific Location/ Whereabouts/ City of Incident
Was the travel provider at fault or liable for the loss of your luggage or value items?
Have you been compensated by the travel provider for these costs?
Compensated currency
Compensated amount
Tell Us About Your Rental Vehicle Excess Claim
When did this incident occur?
In which country did this event happen?
Specific Location/ Whereabouts/ City of Incident
Was someone else at fault or liable for the incident under 'Car Hire Excess'?
Police or event number
Vehicle registration number
Insurance details of third party
Tell Us About Your Optional Benefits Claim
When did this event occur?
In which country did this event happen?
Specific Location/ Whereabouts/ City of Incident
Describe In Detail What Happened
Explain what happened leading up to the event, who was involved, and what happened directly after the
event. If claiming for medical/hospital expenses, please provide a prognosis or summary from your
doctor. If making multiple claims, provide detailed descriptions for each claim.
2000 Characters remaining
Your credit card expenses
What are the first 6 digits of the credit card used to book your flights,
hotel or tour expenses?
Don’t worry! Your details are secure. The first 6 digits of your
credit card contain none of your personal information. It simply tells us which credit card
provider you are with and the type of card you have.