Grievance Form

Grievance Type:

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Any Attachment

Please provide images of the damages and receipt/proof of purchase for damaged items and also mention manufacturer, model information and year purchased.

Select Files To Upload

(JPG, JPEG, PNG, DOC, PDF files are allowed) Max 5 MB File Size.

Excellent customer service is always priority for us, your feedback is important to us. Please provide a detailed description of your feedback, including any issues or suggestions you have:

  • 1. Please provide the complete information in the message box or the information which is not covered in the questions.
  • 2. We value your input and appreciate your time in providing us with valuable feedback. We kindly request that you also include any pictures that can help illustrate your feedback.

Your feedback will assist us in enhancing our website and delivering an improved user experience and it will help us improve our website to better meet your needs and expectations.

*

Any Attachment

Please provide images of the damages and receipt/proof of purchase for damaged items and also mention manufacturer, model information and year purchased.

Select Files To Upload

(JPG, JPEG, PNG, DOC, PDF files are allowed) Max 5 MB File Size.

Excellent customer service is always priority for us, your feedback is important to us. Please provide a detailed description of your feedback, including any issues or suggestions you have:

  • 1. Please provide the complete information in the message box or the information which is not covered in the questions.
  • 2. Please upload pictures of the damaged items, pictures should clearly convey the extent of the damage as well as its location on the item claimed. Provide a distance shot of the entire item with the damage visible. If necessary, provide a close-up picture showing the extent and nature of the damage. Please use some indicator of relative size such as a coin or a ruler. Please identify each picture and what is depicted. Unidentified pictures may delay processing of your claim. If you aresubmitting photographs, please document your name and the item being depicted on the back.

Disclaimer

  • This feedback/complaint form is not an admission of liability on our part and is a procedural requirement. Please read our terms and conditions properly before making a claim.
  • This grievance form is to assist the internal investigation process and is not a formal claimform of the insurance company.
  • The information provided by you in the form will be used in any legal disputes if may arise in future.
  • Incomplete form or incomplete information or improper pictures will not be accepted.