Motor Claims Notification Form

You will be contacted by a claims handler in due course, who will advise you of  the claims reference number and any further documentation that is required in support of your claim.

Please note that fields marked with asterisk (*) are mandatory.

Claim & Policyholder Details
Driver & Incident Details
Vehicle Details
Third Party Details (if applicable)
Police Details
Witness Details
Status Details
Note to Help You

If anyone has been injured or if you have suffered a theft or malicious damage the matter must be reported to the police as soon as possible. Send, unanswered, all correspondence you or the driver receive from others involved in the incident to your insurance advisor or your Allianz office.

Terms & Conditions