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Claim Form Travel Insurance

Please fill out the form along with the required documents for claim review

Select an option
  • Indonesia
  • English
  • Personal Accident, Medical and Evacuation Repatriation Expenses
  • Baggage & Personal Belongings, Travel Documents
  • Trip Curtailment, Deposit Loss/Cancellation
  • Baggage Delay, Travel Delay, Flight Misconnection
  • Personal Liability, Household cover, Own Risk of Rent Vehicle, Golfing Equipment
  • Others (Hijacking, Terrorism)
  • IDR
  • USD
  • Yes
  • No

General Documents required to proceed your claim (Upload your document)

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