Fidelity Guarantee Online Claim Form

Before you Begin

To ensure a smooth claims process, please ensure the issued form must be completed and submitted within seven (7) days of receipt.

Information you will need

NRIC number

Policy

Policy number

Sum insured

Fidelity Details

Date of hospitalize

Details of Surgery

Alternatively, Download a PDF version

Insured's Details

What is your policy detail?

Policyholder Name

Please enter a valid name.

Policy number

Oops, looks like we can't find your policy. Please enter a valid policy number. Or did you forget your policy number? (underline redirect to account page)

What is the best way to contact you?

Contact Name

Please enter a valid name.

Phone Number

Oops, looks like we can't reach you with the number you've provided. Please enter a valid phone number, use numbers only.

Optional

Please enter a valid address

What is the claimant's full name?

Optional

Claimant's Full Name (If different from insured)

Please enter a valid name.

Claim Details

When was the date of incident

Date of Incident

Please ensure the year chosen is between 1900 and 2021

What is the place of incident

Place of Incident

Please enter a valid place.

Describe the incident

Please enter less than 1000 characters.

When was this loss/damage discovered?

Date of loss/damage discovery

1- Please enter the date of incident 2- Please ensure the year chosen is between 1900 and 2021

How did the accident occur?

1- Please explain your issue, so that we can get the appropriate staff to contact you. 2- Please enter less than 1000 characters.

What is the present or last known address?

Optional

Please enter less than 1000 characters.

What is the person who committed the frauds occupation?

Occupation

Please enter a valid occupation.

Details of any salary/commission

Please enter less than 1000 characters.

When was this discovered?

Date of Discovery

Please ensure the year chosen is between 1900 and 2021

Since what date has the incident occurred?

Date since event occurred

Please ensure the year chosen is between 1900 and 2021

In what manner was it concealed?

Please enter less than 1000 characters.

What led to the incident discovery?

Please enter less than 1000 characters.

Review

Your claim has been submitted!

Please allow us 3 to 5 working days to get back to you.

For urgent matters, our friendly agents at our Customer Care Hotline are available to tend to your queries every Mondays to Fridays, 8.45am to 5.45pm.

Back to Home Browse Our Products

Oops, something broke us off!

There was an error when delivering your message to us.

Let’s try again so we know our connection is still good.

Browse our products

Visit your local page. If you change your mind, you can use the dropdown at the top navigation to visit other Tokio Marine country pages.