File a claim

FILE A CLAIM

Welcome to the Online Claim Form of Perla Insurance! Please complete the form below to begin filing your claim. Our Claims Representative will immediately get in touch with you regarding this claim. Thank you.

I. Policy Holder Details
Policy Number

Type

Code

Number

Contact Details

Your Name

(Kindly provide an email address and at least one contact number, so that we can get back to you regarding your claim.)

Email Address

Residence Number (e.g. 1234-5678)

Mobile Number (e.g. 912-1234567)

Office Number (e.g. 1234-5678)

II. Details of Claim/Loss

Date of Loss

Brief Description of the Circumstances of Loss

III. Claim Notified By

Claim Notified By

Policy Holder Representative of Policy Holder

IV. Upload Claim Documents
Click here for the list of claim requirements.
(File types: doc, docx, txt, xls, xlsx, jpg, jpeg, png, pdf; Max per file size: 10MB; File name must only contain 100 characters including the file extension)

Choose document