+ 27 (0) 31 562 8320

steve@ssib.co.za

Motor Accident Claim

Please complete and submit the form below.  Once this is done you will receive a confirmation email with your claim and we will be in touch shortly thereafter.

* Required Field

Insured














Vehicle
















Damage Details




























Passengers Details








Other Vehicles Details



























Damage to Property (other than vehicle)





Personal Injuries (other than in Insured Vehicle)








Accident Description