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Claim Submission

Describe the circumstances of the incident

Please enter a valid policy number.

Please enter a valid policy number.

Please enter a valid policy number.

Please enter a valid policy number.

Please enter a valid policy number.

Please enter a valid policy number.

Please enter a valid plate number / conduction sticker.

Please enter a date of loss

When did the incident occur

Please enter a date of loss

When did the incident occur

Please enter a date of loss.

When did the incident occur

Please enter a date of loss.

When did the incident occur

Please enter a date of loss.

When did the incident occur

Please enter a date of loss.

When did the incident occur

Please enter nature of loss.

Please enter nature of loss.

Please enter nature of loss

Please enter nature of loss.

Please enter nature of loss

Please enter nature of loss

Enter valid summary

Max Character Limit is 255

Enter valid summary

Max Character Limit is 255

Enter valid summary

Max Character Limit is 255

Enter valid summary

Max Character Limit is 255

Enter valid summary

Enter valid summary

Max Character Limit is 255

Please enter a valid policy number.

Please enter a valid policy number.

Please enter a valid policy number.

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Submission of supporting documents will help to expedite your claim. Oona Insurance reserves the right to request for additional documents if deemed necessary.

Driver's license at the time of accident

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Certificate of Registration (COR)

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Damage Photographs

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Please upload all damage photographs (max 6)

Uploaded files

Other supporting documents

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Please upload any other documents related to your claim

Uploaded files

Passport

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Receipts of payments made

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Other supporting documents

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Please upload any other documents related to your claim

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Copy of valid government ID

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Supporting documents

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Other supporting documents

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Please upload any other documents related to your claim

Uploaded files

Employment Contract

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Passport

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Uploaded files

Other supporting documents

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Drag & drop files or

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Please upload any other documents related to your claim

Uploaded files

Damage Photographs

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Drag & drop files or

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Upload (multiple files - up to 6 files, 2MB each)

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Please upload all damage photographs (max 6)

Uploaded files

Other supporting documents

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Drag & drop files or

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Upload (multiple files - up to 6 files, 2MB each)

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Please upload any other documents related to your claim

Uploaded files

Damage Photographs

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Drag & drop files or

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Upload (multiple files - up to 6 files, 2MB each)

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Please upload all damage photographs (max 6)

Uploaded files

Other supporting documents

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Drag & drop files or

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Upload (multiple files - up to 6 files, 2MB each)

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Please upload any other documents related to your claim

Uploaded files

Medical documents

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Please upload all medical documents (max 6)

Uploaded files

KTP

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Please upload your identity card (max 6)

Uploaded files

Medical documents

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Please upload all medical documents (max 6)

Uploaded files

KTP

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Drag & drop files or

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Please upload your identity card (max 6)

Uploaded files

Medical documents

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Drag & drop files or

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Please upload all medical documents (max 6)

Uploaded files

KTP

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Please upload your identity card (max 6)

Uploaded files

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Contact Information

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Enter Your First Name

Enter Your Middle Name

Enter Your Last Name

Enter Valid Email

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Enter Valid Mobile Number

Enter Your Street Address

Max Character Limit is 255

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