Travel Claims 

For the Travel insurance claim process, insurance participants are welcome to download the claim submission form below and fill it out completely.

 

If experiencing any difficulties, insurance participants are expected to immediately contact Agus Dharma, call the call centre or visit the nearest Allianz office.

Download Documents

Click the picture for Online Claim Submittion

Accident and Health Claims

For the Allianz individual health insurance claim process, insurance participants are welcome to download the claim submission form below and fill it out completely.

 

If experiencing difficulties, insurance participants are expected to immediately contact Agus Dharma, contact the call centre or visit the nearest Allianz office.

Download Documents

Click the picture for Claim Form

Property Claims 

For the Property insurance claim process, insurance participants are welcome to download the claim submission form below and fill it out completely.

 

If experiencing any difficulties, insurance participants are expected to immediately contact Agus Dharma, call the call centre or visit the nearest Allianz office.

Download Documents

Motor Vehicle Claims 

For the Car insurance claim process, insurance participants are welcome to download the claim submission form below and fill in the details.

In the procedure for filing a claim, the first action that an insurance participant must take in the event of a loss due to an accident or loss is to report it to the Insurance Company or within 72 hours, starting from the time of the incident.
Download Documents

Click the picture for Claim Form for Vehicle

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For More Information please call : 0811-3801-871 or email to balivillainsurance@gmail.com

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