claims – Eagle Rich

File A Claim

Please give definite and complete answers to each question. The issue and acceptance of this form should not be regarded as an admission of liability.

Policy Number

Name of Insured*

Email

Phone Number

Town

P.o Box

Date of damage/Loss

Cause of Damage

Brief Description

Police Notification outcome

Are you insured for the present loss under any other policy?

Yes No

Consent*

I/We hereby declare the foregoing particulars to be true to the best of my/our knowledge and belief.

About

Eagle Rich is a top Kenyan insurance agency offering best insurance solutions to many customers across the nation. We focus on providing almost all kinds of insurance that are tailored to customer’s requirements.

Personal Insurance

Business Insurance

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