New TUM claim

Kindly confirm the following information in order for us to proceed with your claim as soon as possible:

Claim #*
Advisor:*
Damage Report, Repair or Salvage?*
- Damage Report
- Repair
- Salvage
Device type*
- Smartphone
- Tablet
- Laptop
- TV
- Console
Device Make*
Device Model*
Device Storage Capacity
Imei
Colour
Serial number / Model number
Item Dimensions (eg 40”)*
Device Replacement Value
Sum Insured
Insured
First Last
Contact Name and Surname*
First Last
Contact Phone number*
You can add more than one number if needed.
Contact email*
User/Claimant Full Name*
First Last
Collection address
Please add the address, and collection notes, if needed: Eg: Please hoot at the gate, intercom broken.
Damage / Problems Experienced / Notes
Additional Contact Information:
Broker name*
First Last
Broker contact number*
Broker email*