Property Loss - Claim declaration

      

Fill out the following form as completely as possible. Once you have completed the form, click the Submit button to send your information.

You also can upload photos, police reports, budgets and invoices.

Our Claim Department will contact you promptly.

Property Loss Claim Declaration
Name *
Phone Number *
Email
Emergency Contact Person + Phone details
Policy Number
Type of Claim: *
 Water Damage  
 Fire / Explosion 
 Burglary, robbery and theft 
 Electrical damage 
 Glass 
 Public liability 
 Other 
What date did the loss take place? *

Day 		/
Month 		/
Year
How severe was the damage? *
LOSS DESCRIPTION *
Include important details such as police report number if applicable.
If this is an emergency call 902 340 430 Zurich Assistance (24H)
File Upload (photos, invoices, budgets, police declarations, etc)
(limit 1MB)
claim help