Motor Accident Claims Form

IMPORTANT REMINDER

  1. Participant must provide true and correct information.
  2. Takaful Brunei Am Sdn Bhd reserve the right to repudiate the claim if this form is not filled with full and clear information.
  3. This form is not to be taken as an admission of liability by Takaful Brunei Am Sdn Bhd.
  4. It is an offense to make a false statement in this form.
Fields marked with an * are required
Participant's Detail 
Did you give permission to the driver to drive your vehicle? *
Did you as for any payment for the use of your vehicle? *
Is your vehicle under any financing? *
Details of Vehicle (as per Blue Card) 
Has the vehicle been modified/altered?
 
Does Participant own or have the use of more than one vehicle?
 

Have Any Feedback? Contact Us Now

Help & Support

TBA Call Centre
224 4000

TBA WhatsApp
743 4000

Takaful Brunei Mobile

Available on the Apple App
Store and Google Play.

Quote. Pay. Protected.

Download
Feedback Form

Help us improve and better our
services, tell us what you think.

Submit Feedback

Download Takaful Brunei Mobile

Get Quotations, Renew, Make Payments, and Make Claims!

Takaful Brunei Mobile provides an easy and convenient platform to get quotations, renewals and information on selected Takaful Brunei Am Sdn Bhd (TBA) and Takaful Brunei Keluarga Sdn Bhd (TBK) products through your phone or tablets.

×

Start a Conversation

Hi! Click one of our agents below to chat on WhatsApp

×
MonTueWedThuFriSatSun
311234567891011121314151617181920212223242526272829301234567891011