Customer Support - Brilliant Management Services

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TOWING HOTLINES
- Towing & Rider Auto Assist
CUSTOMER SUPPORT
HELPFUL INFO
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HOME
ABOUT US
SERVICES
TOWING HOTLINES
- Towing & Rider Auto Assist
CUSTOMER SUPPORT
HELPFUL INFO
OUTLETS

EN
- MY

HOME
ABOUT US
SERVICES
TOWING HOTLINES
- Towing & Rider Auto Assist
CUSTOMER SUPPORT
HELPFUL INFO
OUTLETS

Customer

Support

We are here to assist you.
Call our customer service team at 1300 88 5755

Customer Support

We are here to assist you.
Call our customer service team at 1300 88 5755

Claim
Services

Insurance Amendment

Insurance
Extension

Insurance Cancellation

Claim Services

Insurance Amendment

Insurance Extension

Insurance Cancellation

Please select a form below to submit

Commercial Vehicle Enquiry

Insurance Extension

Insurance Endorsement

Claim Form (Own Damage/Express Claim)

Claim Form (Own Damage KFK)

Claim Form (Theft of Vehicle)

Claim Form (Windscreen Damage)

Claim Form (Notifications)

Commercial Vehicle Enquiry

Commercial Vehicle Enquiry Form

This is for commercial vehicle to get quotation

Customer/Company Name:

Company Business Registration Number:

Address:

Email:

Tel No:

Vehicle No:

Types of Vehicles:

Vehicle’s Registration Card (log Book):

Previous Insurance Copy:

Others Documents :

Insurance Extension

Insurance Extension

Please fill up the Extension Form if you need to make any updates to your existing policy.

Name:

New / Old I.C. No. / Passport / Company Reg.:

Email:

Contact No.:

Vehicle / Policy No.:

Insurance Co.:

Road Tax Picture:

Insurance Policy:

Insurance Endorsement

REQUEST FOR ENDORSEMENT

Please fill up the Endorsement Form if you need to make any updates to your existing policy.

Name:

New / Old I.C. No.:

Email:

Contact No.:

Vehicle / Policy No:

Subject:

Details on Changes:

Attachment 1:

Attachment 2:

Attachment 3:

Attachment 4:

Attachment 5:

Claim Form (Own Damage/Express Claim)

Claim Form (Own Damage/Express Claim)

Please fill up the Claim Form if you need to file a claim for vehicle damage. (Not at Fault)

Name:

New / Old I.C. No.:

Email:

Contact No.:

Vehicle / Policy No:

Insurance Co.:

Details:

Police Report (PDF Format):

Copy of Vehicle Registration Card:

Copy of Insured I.C. / Passport:

Copy of Driver I.C. / Passport:

Copy of Driver License:

Copy of Policy Schedule:

Copy of Roadtax Disc:

Copy of Puspakom Disc (Commercial Vehicle):

Copy of Commercial Transport Permit:

Copy of Police Compound (if any):

Workshop’s Estimate / Quotation:

Copy of Company’s Business Registration (for company owned vehicle):

Statutory Declaration From Insured:

JPJ’s Extract on Third Party’s Vehicle:

Police Investigation Outcome Report:

Claim Form (Own Damage KFK)

CLAIM FORM (OWN DAMAGE KFK)

Please fill up the Claim Form if you need to file a claim for vehicle damage. (Not at Fault)

Name:

New / Old I.C. No.:

Email:

Contact No.:

Vehicle / Policy No:

Insurance Co.:

Details:

Police Report (PDF Format):

Copy of Vehicle Registration Card:

Copy of Insured I.C. / Passport:

Copy of Driver I.C. / Passport:

Copy of Driver License:

Copy of Policy Schedule:

Copy of Roadtax Disc:

Copy of Puspakom Disc (Commercial Vehicle):

Copy of Commercial Transport Permit:

Copy of Police Compound (if any):

Workshop’s Estimate / Quotation:

Copy of Company’s Business Registration (for company owned vehicle):

Statutory Declaration From Insured:

JPJ’s Extract on Third Party’s Vehicle:

Police Investigation Outcome Report:

Claim Form (Theft of Vehicle)

CLAIM FORM (THEFT OF VEHICLE)

Please fill up the Claim Form if you need to file a claim for loss of vehicle.

Name:

New / Old I.C. No.:

Email:

Contact No.:

Vehicle / Policy No.:

Insurance Co.:

Details:

Police Report (PDF Format):

Copy of Vehicle Registration Card:

Copy of Insured I.C. / Passport:

Copy of Driver I.C. / Passport:

Copy of Driver License:

Copy of Policy Schedule:

Copy of Puspakom Disc (Commercial Vehicle):

Copy of Commercial Transport Permit:

Copy of Hire Purchase Agreement:

Copy of Company’s Business Registration (for company owned vehicle):

Claim Form (Windscreen Damage)

CLAIM FORM (WINDSCREEN DAMAGE)

Please fill up the Claim Form if you need to file a claim for vehicle windscreen damage.

Name:

New / Old I.C. No.:

Email:

Contact No.:

Vehicle / Policy No.:

Insurance Co.:

Details:

Police Report (PDF Format):

Copy of Vehicle Registration Card:

Copy of Insured I.C. / Passport:

Copy of Driver I.C. / Passport:

Copy of Driver License:

Copy of Policy Schedule:

Repair Bill:

Photographs:

Claim Form (Notifications)

CLAIM FORM (NOTIFICATIONS)

Please fill up the Claim Form if you need to file a claim for vehicle damage.

Name:

New / Old I.C. No.:

Email:

Contact No.:

Vehicle / Policy No.:

Insurance Co.:

Details:

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