Product TypeMotor InsuranceMedical InsuranceTravel InsuranceGeneral Insurance

Abu DhabiAbu Dhabi AlainDubaiNorthern Emirates

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Full Name*

Phone Number*

Email Address*

Emirate
—Please choose an option—Abu DhabiDubaiSharjahAjmanUmm Al QuwainRas Al KhaimahFujairah

Methaq Policy Number*

Date of Loss

Emirates ID (front & back)*

Car Registration Card*

Driving License*