|
|
|
CHECKLIST |
|
|
Print this document and keep it in your car. It would be useful as a guideline in
the event of an accident.
|
|
Accident Details |
|
Date of Accident: |
|
|
Time of Accident: |
|
|
Place of Accident: |
|
|
|
|
|
Description of Damages to Your Vehicle : |
|
|
|
|
|
|
|
|
Other Party Details |
|
Name: |
|
|
Address: |
|
|
|
|
|
License number: |
|
|
Vehicle number: |
|
|
Vehicle Type: |
|
|
Insurer's name: |
|
|
Insurance policy number: |
|
|
|
|
|
Description of Damages to Third Party Vehicle / Property: |
|
|
|
|
|
|
|
|
Documents Checklist to Make An Insurance Claim |
 |
|
Police Report (Original or Certified true copy) |
|
|
Insurance Policy/Cover note |
|
|
Vehicle Registration card |
|
|
Road Tax disc |
|
|
Identity Card and Driving License of the vehicle owner |
|
|
Identity Card and Driving License of the driver |
|
|
Any correspondence that you receive from Other Party |
|
Kurnia Insurans (Malaysia) Berhad
Menara Kurnia,
No. 9, Jalan PJS 8/9,
46150 Petaling Jaya,
Selangor Darul Ehsan.
Tel: 03-78753333
|
|
Kurnia Auto Assist |
Help Line: 03-2692 2233
Toll Free: 1-800-88-3833
|
EXTERNAL CAR PARTS GUIDE
|
 |
|
|
|