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Miscellaneous claim

Would you like to submit photos, receipts, reports or other attachments?

You can attach up to three items (in PDF or JPG format, up to 2 MB) when you submit the form.

What happens after you file a claim?

AXA will contact you in the next few days.

* Mandatory information
Type of claim

What is it about?

Information on the loss event

Has the police been notified of the damage?

Affected insurance
Your personal information

In what capacity are you contacting us?


Title *

Additional information

Here you can add documents and images of the damage to your claims notice (max. 2 MB per file / 6 MB in total).

Permitted file formats: .jpeg, .jpg, .pdf

You can upload files with max. 2 MB.
​Only the file types in the list are permitted.
​Your items
​Choose file
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