Customer Support – Brilliant Management Services

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

EN
- MY

HOME
ABOUT US
SERVICES
USEFUL 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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All Rights Reserved

Term & Conditions

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Terms & Conditions

When we process your insurance application you are asked certain question relating to your circumstances. We may request additional information in order to offer you a competitive price consistent with you circumstance and requirements. However, please be aware that our offered rate is subject to change suggested or imposed by the insurance company who underwrites your insurance policy. We therefore have no control over such changes that may occur from time to time. The rate that we offer you is deemed current at the time of your application. Any changes shall be passed on to you without limitations.

Once the road-tax is printed, no refundable.

By accepting this quotation, you have understood and accepted the terms and conditions.

Note: In accordance with Insurance Act 1996 (Part XII, Section 141 Assumption of Risks, Subsection 4) all refund premium shall pay directly to the policyholder.

Privacy Policy

In line with the Personal Data Protection Act 2010 (PDPA), we seek your consent as our customer to be given to us to use, process and/or retain your personal data. In short, PDPA protects your personal data. We would like to seek your full co‐operation to grant us your consent by completing this Personal Data Protection