Free Claims Assistance

We're here to swiftly assist with your claim, ensuring a seamless process & speedy settlement. Count on our dedicated team for top-notch support.

Personal Details

Full Name

Mobile

What is this Claim for?

Claim Type

Own Damage Claim Requirements

Date & Time of Accident

Place of Accident

Driver at the Time of Accident

Driving Licence no.

Driving Licence valid upto

Type of licence

Reported at Police Station?

Select Insurer

Policy no.

Policy Start Date

Policy End Date

Policy Document:

Accident Photos/Images, if any

Brief Description about accident

Claim Status

What do you expect us to do?

I declare that all the above details are true to the best of my knowledge. I hereby appoint Bimastreet (Amaze Insurance Brokers) to act as Claims Consultant under my cited claim and authorize them to represent me with the insurance company for the said Claim. I understand that Bimastreet is extending this Claims Consultancy Service FREE OF COST.

Free Claims Assistance

Reported at Police Station?

Policy Document:

Accident Photos/Images, if any

Customer Support on(+91) 9391009482/84/89

Company

Services

Contact Details

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