First Name * Last Name * Phone Number * Email Address * Policy Number Insurance Company * --- Select Insurance Company ---Awash InsuranceNyala Insurance SCNile Insurance SCOromia Insurance CompanyEthiopian Insurance CorporationNIB InsuranceBunna InsuranceAbay Insurance SCLucy InsuranceBerhan Insurance SCTsehay InsuranceHibret (United) InsuranceZemen InsuranceAnbessa (Lion) InsuranceAfrica Insurance SCGlobal Insurance CompanyEthio Life & General InsuranceNational Insurance Company of EthiopiaNib Insurance BankKerchanshe InsuranceGoh Betoch InsuranceOther Claim Type * --- Select Claim Type ---Motor / Vehicle InsuranceBusiness InsuranceContractors All Risk (CAR)Property InsuranceLiability InsuranceWorkmen's CompensationLife / Health InsuranceEngineering InsuranceMarine / Cargo InsuranceOther Date of Incident * Location of Incident * Estimated Loss Amount (ETB) Description of Incident * Upload Supporting Documents (Photos, Police Report, Medical Report — PDF, JPG, PNG. Max 5MB each) I confirm the information provided is accurate and complete.
