Make a Claim

Engineering Insurance


Type of Claim

Insurance policy

First Name*

Last Name*

Email Address*

Contact phone number*

Brief description of claim

I have read and accept the Terms and Conditions

 

I understand that by completing this form my data will be processed by MIB Group in line with GDPR. I confirm having reviewed MIB’s Privacy Policy  and hereby consent that this data (including if needed sensitive data as defined in article 9 of GDPR) are used for the purpose of providing your insurance services.

 

I also understand that it is my responsibility to secure and hold the necessary consent from any employees, beneficiaries or other third parties directly or indirectly involved in the insurance proposal/arrangements and whose data will be processed by MIB Group and the providers of insurance and ancillary services.