Register New Claim

Home
Register New Claim

New Claim

Note: fields marked with * are required.

Step 1
Step 2

Step 1 - 2

Claim Type *

Date of loss *

Insured Name Type *

Insured Name *

Insured ID Type *

Insured ID *

Race

Other Race

Vehicle Reg# *

Insured Email *

Insured Mobile *

Car Involved In The Accident

Police Report Ref# *

Same with insured? *

Yes

Driver ID *

Driver Name *

Vehicle Manufacturer/Brand *

Manufacturing Year *

Vehicle Model *

Other Model

Upload Documents

Step 2 - 2

Documents:

File Name	Status	File Size	Type	Action

Upload Photos

Photos/Images:

File Name	Status	File Size	Type	Action

CUSTOMER REQUESTS AND ACKNOWLEDGEMENT OF PERSONAL DATA AND PRIVACY POLICY

By voluntarily providing the personal data required, the Customer acknowledges and consents that Everyone Knows Sdn Bhd ("EOK") shall collect and disclose the Customer's personal data in accordance with EOK's Personal Data and Privacy Policy as found on EOK's website at https://everyoneknows.com.my/privacy-policy and as may be reviewed at EOK's offices upon request by the Customer. If you do not agree with these terms, please refrain from using our services and do not provide us with your personal data.

By ticking the box, I hereby agree that I have read the Privacy Policy and give my consent to EOK to process my personal data in accordance with the Privacy Policy.