Claims - Bruvos

Online Claim Form

Please complete the below form to submit your claim, alternatively you can download the PDF form here and send the complete form to claims@bruvos.co.za

Insured’s name*
Contact Number*
Email Address*
Date of loss*
Time of loss*

: HH

MM
Place where loss occurred*
Description of loss*
Police station name*
Case number*
Details of property lost, stolen or damaged*
For motor vehicles claims please include:
Vehicle reg no
Year
Make and model