Managing your claims is our priority.
If you have a new claim to report, please contact our claims manager on (011) 845 1850 during office hours. To check the status of a current claim you can contact a member of our claims team during office hours on the above number, alternatively email our claims department via the contact form.
Claim Forms
Claim forms are available for you to download. Send your completed form with supporting documents to your claims handler at The Executive Brokers.
CIB Eiendom Verlies Skade Eisvorm
CIB Motor Theft Claim Form
CIB Motor Vehicle Accident Claim Form
CIB Property Loss Damage Claim Form
CIB Public Liability Accident Report Form
CrossCountry Dirtsure Motor Accident Claim Form
CrossCountry Motor Accident Claim Form
CrossCountry Motor Theft Claim Form
CrossCountry Property Loss Damage Claim Form
CrossCountry Smallcraft Claim Form
Firedart General Non Motor Claim Form
Firedart Motor Accident Claim Form
HICSA Motor Accident Claim Form
HICSA Motor Theft Claim Form
HICSA Property Loss Or Damage Claim Form
HICSA Public Liability Claim Form
OldMutual Insure Glass Claim Form
OldMutual Insure Injury Illness Claim Form
OldMutual Insure Motor Accident Claim Form
OldMutual Insure Motor Theft Claim Form
OldMutual Insure Property Loss Claim Form
OldMutualInsure Public Liability Accident Report Form
OneSure Goods In Transit Claim Form
OneSure Motor Accident Claim Form
OneSure Motor Theft Claim Form
OneSure Property Loss Stolen or Damaged Claim Form
OneSure Public Liability Claim Form
Santam Motor Own Damage Claim Form
Santam Motor Theft Claim Form
Santam Motor Third Party Liability Claim Form
Santam Non Motor Claim Form
Santam Algemene Eisvorm
Santam All Risks Claim Form
Santam Motordiefstal Eisvorm
Santam Motor Vehicle Own Damage Claim Form
Santam Motorvoertuig Derdeparty Aanspreeklikheid Eisvorm
Claims Enquiry
Supporting Documents
The following supporting documents will need to be submitted with your claim form. If you have questions, please contact our claims department on (011) 845 1850.
- Motor accident claim : SAP (case) number, Driver’s licence
- Motor collision third party involved : SAP (case) number, Driver’s licence, Third party details
- Stolen motor vehicle : SAP (case) number, Vehicle chassis number (VIN), Vehicle engine number
- General All Risks (lost/damaged) : Invoice (if item has been repaired/replaced), Quotation to replace, Quotation to repair, Report from service provider (Damage Report)
- General All Risks (stolen) : Invoice (if item has been repaired/replaced), Quotation to replace, SAP (case) number
- Geyser with or without resultant damage : Invoice (if item has been repaired/ replaced)
- Jewellery : Quotation to replace, SAP (case) number
