Claims notification - FPG Insurance

Online Claims

Submit your claim information online

An FPG Insurance claim representative will connect you directly to confirm your claim details and commence processing your claim.

Policy Number ^*

Policyholder Name ^*

Date of incident ^*

Time of incident ^*

Place of incident ^*

Incident Description ^*

Notified By ^*

Relationship to Policyholder ^*

Contact Name ^*

Contact Email ^*

Contact Telephone ^*

+62

Contact Fax ^*

+62

Contact Mobile ^*

+62

Upload photo ^*

Submit

Claim Forms Download

Motor Claims
Travel Claims
Personal Accident Claims