Welcome to the iTrek Online Claims Form

If you want to add attachment to an existing claim, then Click Here
Important information about how to complete this claim form:
  • This claim form must be completed by a named Insured under the policy.
  • All answers to questions and information provided by the Claimant must be an honest, accurate, true and correct representation of facts.
  • You must substantiate your claim by submitting original receipts and invoices issued by legitimate and verifiable providers.
  • You acknowledge that any misrepresentation of facts may be investigated by Us and any alleged unlawful misrepresentation reported to the relevant authorities.
  • You must be the legitimate beneficiary of any claim settlement.

1. Declaration

By submitting this claim I declare that:
  • I am a named Insured under the policy.
  • All answers to questions and information provided by the Claimant are an honest, accurate, true and correct representation of facts.
  • All substantiating documents are original receipts and invoices issued by legitimate and verifiable providers.
  • I acknowledge that any misrepresentation of facts may be investigated by Us and any alleged unlawful misrepresentation reported to the relevant authorities.
  • I am the legitimate beneficiary of any potential claim settlement under the policy.

Please enter your name in this box to sign this declaration before proceeding with your claim submission:

2. Your Details

3. Your Claim

4. Your Expenses

5. Your Payment Details