CLAIMS PORTAL

Report a Claim

Complete this form accurately and submit immediately with all supporting documents.

All Risks Claim Form

Complete accurately and submit immediately with all supporting documents.

1. Policy / Claim Information

Policy No.

Nature of Loss

2. Insured Details

Full Name

Address

Occupation

Telephone

Email Address

3. Loss Details

Date / Time of Loss

Full Circumstances of Loss

Suspected Person(s), if any

4. Police Report / Recovery Actions

Police Notified?

Station / Address

Recovery Steps Taken

Other Insurance Covering This Loss?

5. Particulars of Claim

List each article/item being claimed:

6. Declaration

I declare that the information supplied is true, complete, and accurate to the best of my knowledge, and that the property claimed belongs to me and was insured under the stated policy.

Notice: Any fraudulent, exaggerated, or false claim may render the policy void.

Insured Signature (type full name)

Date

Submit this form immediately. Notify the police promptly. Inform the company if the property is recovered. Emails: claims@ceiil.ng, customercare@ceiil.ng.