Claims and Assistance Services

General Insurance Electronic Claim Notification Facility

Please fill in the form in English.
Please note that all fields marked with an asterisk * are mandatory.

Policy / Certificate number

(as shown on your policy document/confirmation)

Name of Insured

(as shown on your policy document/confirmation)

Person to contact for more information

Contact person's telephone number

Contact person's email address

Note: AXA may use your email address to contact you about your claim. By submitting this claim, you are consenting to this form of communication between yourself and AXA

Preferred contact time

Policy type

Date of loss

Location of loss

Cause of loss

Nature of damage or injury

Cause of loss

Nature of damage or injury

Cause of loss

Nature of damage or injury

Cause of loss

Nature of damage or injury

Cause of loss

Nature of damage or injury

Cause of loss

Nature of damage or injury

Cause of loss

Nature of damage or injury

Cause of loss

Nature of damage or injury

Estimated loss or receipt cost

Estimates obtained?

Yes

Emergency repairs carried out?

Yes

Brief description of how loss occurred

After you have submitted your claim, AXA will contact you within 3 business days to confirm:

Receipt of your claim notification
Who will be handling your claim and their contact details
What will happen next

Notes

This electronic claim notification system is designed to speed up your claim process. Please note that, depending on the nature of your claim, you may be requested to provide additional information as and when required.
The general insurance policies are underwritten by AXA General Insurance Hong Kong Limited (“AXA”), which is authorised and regulated by the Commissioner of Insurance of the Hong Kong SAR. AXA will be responsible for providing your insurance coverage and handling claims under your policy. The Hongkong and Shanghai Banking Corporation Limited is registered in accordance with the Insurance Companies Ordinance (Cap. 41 of the Laws of Hong Kong) as an insurance agent of AXA for distribution of general insurance products in the Hong Kong SAR. The Information you provide us through this web page about general insurance products / policies will be transferred to AXA directly for further handling.

Please note that this email function is not intended for giving urgent instructions or reporting an urgent matter (e.g. reporting of fraud or suspicious transactions). If you suspect fraud or suspicious transactions, please call our customer service hotline. The information submitted through this web page is encrypted during transmission. However, please remember that you should not submit your account details and/or request any banking transactions via email.

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Claims and Assistance Services

We would like to confirm that we have received your electronic claim notification and that we have noted the details of your claim. A claims handler will contact you within 3 business days to guide you through the next step of your claim.

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