Personal
Business
Hit enter to search or ESC to close
Insurance
Health Insurance
Home Insurance
Travel Insurance
Motor Insurance
Boat Insurance
Personal Accident Insurance
Life Insurance
Retirement Planning
Sports Medical Insurance
Get a Quote
Make a Claim
Insurance
Transit Insurance
Liability Insurance
Marine Insurance
Aviation Insurance
Property Insurance
Financial Risks Insurance
Professional Indemnity Insurance
Cyber Insurance and iGaming Exposures
Engineering Insurance
Employee Benefits
Construction Insurance
Motor Fleets & Tool of Trade
Risk Consultancy
Get a Quote
Make a Claim
Travel Insurance Claim Form
Claim Type
Travel Section
*
Baggage
Baggage Delay
Cancellation/Curtailment
Loss of Baggage
Medical Expenses
Theft/Loss
Policy Holder Details
Policy Number
First Name
*
Last Name
*
ID Number
*
Email Address
*
Enter Email
Confirm Email
Contact Phone Number
*
Accident Details
Date of Accident
*
Date Format: DD slash MM slash YYYY
Time of Accident
:
HH
MM
AM
PM
Location of Accident
*
Police/Warden's Report Number (if applicable)
Departure Date from Malta
Date Format: MM slash DD slash YYYY
Arrival Date to Malta
Date Format: MM slash DD slash YYYY
Countries Visited
Brief description of claim
*
Injured Persons
Name
Nature of Injury
Edit
Delete
There are no
Persons.
Add Person
Maximum number of persons reached.
Photos of Damages & Documents
Drop files here or
Required Documents:
Copy of Passport/ID Card
Copy of Flight Tickets or Itinerary
Original Damage Report (Property Irregularity Report) issued on arrival by airline representatives
Original Luggage Tags
Original Boarding Pass
Photos of Damaged Luggage
Required Documents:
Copy of Passport/ID Card
Copy of Flight Tickets or Itinerary
Original Damage Report (Property Irregularity Report) issued on arrival by airline representatives
Original Luggage Tags
Original Boarding Pass
Original Delivery Report (presented by airline representatives on baggage delivery) (if baggage is delayed)
Original receipts of emergency items bought until arrival of baggage
Photos of Damaged Luggage
Required Documents:
Copy of Passport/ID Card
Copy of Flight Tickets or Itinerary
Original Initial Report (Property Irregularity Report) (issued on arrival by airline representatives)
Original Follow up Report - declaring lost baggage (issued by airline representatives following 30 days)
Proof of Ownership of Missing Items (receipts, guarantees, booklets, manuals, boxes, chargers)
Original Luggage Tags of flight during which the delay occurred
Original Boarding Pass of flight during which the delay occurred
Required Documents:
Copy of Passport/ID Card
Copy of Flight Tickets or Itinerary
Travel Itinerary incl. tour programme, accommodation details, excursions
Invoices/Receipts for prepaid expenses, flights, accommodation, excursions
Medical Report stating nature of illness and reason for cancelling trip
Death Certificate (if reason for cancellation) stating cause of death
In the event of a cancellation, clients are to notify immediately travel agent/ticket issuing office, to apply for refund of taxes and surcharges from airline
Required Documents:
Copy of Passport/ID Card
Copy of Flight Tickets or Itinerary
Original Medical Report issued by doctor who examined you abroad
Original Receipts for Related Medical Expenses (namely doctor's fees and prescribed medication)
Required Documents:
Copy of Passport/ID Card
Copy of Flight Tickets or Itinerary
Original Police Report or Security Report issued at the location of theft/loss
Original Loss Report (Property Irregularity Report) only if theft/loss occurred from baggage during a flight and discovered on arrival
Detailed List of Stolen/Missing Items if more than one item had been stolen/lost
Proof of Ownership of Missing Items (receipts, guarantees, booklets, manuals, boxes, chargers)
Money Exchange Slip/Bank Withdrawal Statement (in the event of theft/loss of money)
Terms Accept
*
I have read and accept MIB's
Client Terms of Business & Privacy Policy
.
*
I understand that by completing this form the data will be processed by MIB in line with GDPR and hereby consent that this data (including if needed sensitive data as defined in article 9 of GDPR) are used for the purposes 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 direct or indirectly involved in the insurance proposal/arrangements and whose data will be processed by MIB and the providers of insurance and ancillary services.
Insurance
Health Insurance
Home Insurance
Travel Insurance
Motor Insurance
Boat Insurance
Personal Accident Insurance
Life Insurance
Retirement Planning
Sports Medical Insurance
Get a Quote
Make a Claim
Insurance
Transit Insurance
Liability Insurance
Marine Insurance
Aviation Insurance
Property Insurance
Financial Risks Insurance
Professional Indemnity Insurance
Cyber Insurance and iGaming Exposures
Engineering Insurance
Employee Benefits
Construction Insurance
Motor Fleets & Tool of Trade
Risk Consultancy
Get a Quote
Make a Claim
Name
*
Address
Nature of Injury
*
Admitted to hospital?
Yes
No
Hospital name
This iframe contains the logic required to handle Ajax powered Gravity Forms.