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Submit A Claim
Submit A Claim

Submit A Claim

Genesis Insurance Brokers
Submit A Claim

Submit A Claim

Complete one of our claim forms below online and one of our representatives will get back to you.

GLASS CLAIM FORM
LOSS OF MONEY FORM
MOTOR ACCIDENT CLAIM FORM
MOTOR EXTENSIONS CLAIM FORM
MOTOR THEFT CLAIM FORM
PERSONAL LIABILITY CLAIM FORM
PROPERTY LOST, STOLEN OR DAMAGED CLAIM FORM
PUBLIC LIABILITY CLAIM FORM

Claims Department

Contact one of our claims experts:

Expert: Email:
Avril Munro
avril@genesisib.co.za
Bongani Hadebe
bongani@genesisib.co.za
Toheera Kahn
toheera@genesisib.co.za
Cathy McInnes
cathy@genesisib.co.za
Taryn Miller
taryn@genesisib.co.za

Claims Department

  • In general, losses and damages, including theft need to be reported to police.
  • It is important to ensure that you report the claim to your broker within 30 days or as and when the incident occurs.
  • Never admit Liability or Responsibility for any incident.

Documentation required for Motor Claim

Accident

  • Motor Accident Claim form – fully completed
  • Clear Copy of Driver’s licence
  • SAP (case) number
  • Quotation
  • Witness information if applicable
  • All Third-Party details
  • Any documentation you receive from Third Party / their attorneys etc

Theft

  • Motor Theft Claim form – fully completed – Clear copy of driver’s licence
  • Copy of purchase invoice
  • Confirmation of any extras
  • Keys
  • 2 x signed change of ownership forms
  • Original deregistration papers
  • If a company BRNC certificate
  • Certified copy of ID – proxy documentation
  • SAP 21 letter

Write Off

  • Motor Accident Claim form – fully completed
  • Clear copy of driver’s licence
  • Copy of purchase invoice
  • Confirmation of any extras
  • Keys
  • 2 x signed change of ownership forms
  • Original registration papers
  • Manual
  • If a company Certified copy of ID Document
  • BRNC (business registration number certificate)

Documentation required for Non-Motor Claim (Property Loss)

  • General Property loss / damage claim form to be fully completed and returned with the necessary documentation listed below.
  • Proof of ownership would be required for certain claims.
  • Salvage would be required for certain claims therefore please do not dispose of damaged items.

Lost/Damaged:

  • Invoice (if item has been repaired / replaced)
  • Quotation to replace / repair
  • Damage report from service provider

Stolen

  • Invoice / quote to replace
  • SAPS (case) number

Geyser

  • Invoice or Quote to replace / repair
  • Above also applies to any resultant damage
  • Age of Geyser

Cell Phone

  • Damage Report from service provider (in case of damage)
  • Blacklisting number from network service provider (in case of loss or theft)
  • SAPS (case) number (in case of loss or theft)
  • Invoice or Quote to repair / replace item

Johannesburg Office:

+27 11 789 7845
41 Waterford Office Park, Waterford Drive, Fourways, 2055

Cape Town
Office:

Cape Town Office:

+27 21 556 8371
5 Frere Ave, Table View, Cape Town, 7441

Port Elizabeth Office:

+27 87 701 2222
49 Worraker Street, Newton Park, Port Elizabeth, 6001
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Small Enough To Care,
Big Enough To Make A Difference

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Small Enough To Care,
Big Enough To Make A Difference

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Small Enough To Care,
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