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Submit a Claim

Personal Details

Insurance Policy No.

Insured Person Name

Gender

Male

Female

Insured Person Passport No.

Contact Person Name

Contact Person Mobile No.

Contact Person Address

Contact Person Email Address

Travel Start Date

Travel End Date

Are you making claim with any other insurance company? If yes, type the name and if no, type NIL

Reference No.

Detailed Loss Description

Location of Incident

Date of Incident

Reason of Incident

Benefit Type

* DAMANA will send you the claim acknowledgement and claim settlement by email.
* DAMANA may contact you by email to obtain additional information to process your claim, if necessary.

Document Uploads

Scanned copy of the front page of the passport

Upload

Scan of the exit stamp from your passport from the country of origin

Upload

Scan of the entry stamp from your passport to the visited country

Upload

Scan of original detailed invoice showing that the claimed amount has been paid

Upload

Maximum file size for each attachment is 2 MB. Supported format for documents are PDF, PNG and JPEG.

Select Claim Type

Please select the relevant claim type from the drop down below. DAMANA may request for additional documents.

Claim Types

As per the above selection, please fill in the below details and upload the required documents.

Details and Uploads

Section : Medical Expenses

Is your illness related to a pre-existing medical condition?

Yes, Please specify:

No

Did you / will you receive any follow up treatment(s)?

Yes

No

Recovery date

Did you contact the travel insurance emergency phone line?

Yes

No

Detailed initial medical report (including date of admission, past medical history, physical examination and initial diagnosis)

Upload

Final completed medical report with detailed history of present illness and treatments.

Upload

Fit to fly document issued by the treating doctor, with stamp (in case of repatriation)

Upload

Claim Amount

Claim Currency

Section : Personal accident (includes accidental death and permanent disability)

Casuality condition

Death

Injury

Claim amount

Select Currency

Copy of overseas police report or incident report issued by relevant authority (if applicable)

Upload

Copy of medical report / coroner’s report

Upload

Copy of death certificate (if applicable)

Upload

Copy of relationship proof to the insured e.g. birth certificate, marriage certificate (if applicable)

Upload

Original / certified true copy for the Letters of Administration / grant of probate (if applicable)

Upload

Section : Loss / damage to personal baggage / personal money / travel document / travel ticket or unauthorized use of lost credit card

Copy of photographs showing the extent of damage(s) to the claim item(s)

Upload

Copy of overseas police report / property irregularity report (if applicable)

Upload

Copy of repair quotation of the damaged items(s) (if applicable)

Upload

Original / copy of purchase receipts of the lost / damaged item(s) (if applicable)

Upload

Copy of overseas police report / property irregularity report (if applicable)

Upload

Original / copy of receipts for extra accommodation fee, traveling expenses, replacement of lost travel documents and / or travel tickets (if applicable)

Upload

Copy of statement(s) and investigation report issued by the credit card company showing the details of unauthorized use of credit card (if applicable)

Upload

Copy of notification to the credit card company in relation to the incident of unauthorized use of credit card (if applicable)

Upload

Location of Incident

Select Date of Incident

Details of Incident

Items

Add More

Section :Travel / baggage delay or trip cancellation / curtailment

Please select the applicable option(s):

Travel Delay

Baggage Delay

Trip Cancellation

Trip Curtailment

Claim amount

Select Currency

Scheduled Departure Date

Actual Departure Date

Scheduled arrival Date

Actual arrival Date

Copy of written report from the related public common carrier with reason(s) and duration for the travel delay or baggage delay

Upload

Copy of scheduled and actual itinerary flight boarding pass / electronic boarding pass (if applicable)

Upload

Original / copy of receipts for additional hotel accommodation, travel ticket and / or necessities expenses due to travel delay or baggage delay (if applicable)

Upload

Trip cancellation / curtailment proof e.g. copy of medical report or death certificate

Upload

Copy of refund confirmation issued by public common carrier or travel agency (if applicable)

Upload

Copy of relationship proof to the insured e.g. birth certificate, marriage certificate (if applicable)

Upload

Original / copy of paid travel expense / accommodation fee and / or tour fee and / or sightseeing event receipt (if applicable)

Upload

If travel cancellation / curtailment is due to death, serious physical injury or serious illness of the insured person, immediate family members or travel companion, please provide their copy of death/medical certificates and relationship proof (if applicable)

Upload

Section : Other coverage(s)

Please select the applicable option(s):

Personal liability

Rental vehicle excess

Other(s)

Related expenses

Select Currency

Copy of overseas police report or incident report issued by relevant authority (if applicable)

Upload

Original / copy of compensation invoice and payment receipt for the damaged item(s) if applicable)

Upload

Copy of other related documents e.g. summons, all court documents, solicitors’ correspondences (if applicable)

Upload

Choose Payment Method

Bank Transfer

Bank Transfer

Enter your Bank Details

I have reviewed and I accept all the declarations and authorizations mentioned in Claim Authorization and Declaration document.

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stc is appointed representative of Solidarity and BKIC (GIG Bahrain) in accordance with CBB Rulebook (Volume 3). Insurance and warranty products are underwritten by Solidarity and BKIC (GIG Bahrain).

stc is appointed representative of Solidarity and BKIC (GIG Bahrain) in accordance with CBB Rulebook (Volume 3). Insurance and warranty products are underwritten by Solidarity and BKIC (GIG Bahrain).

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