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?

Policyholder
 

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

uplUploadAdditionalFiles
You can upload files with max. 2 MB.
​Only the file types in the list are permitted.
​Your items
Number
File
Remove
3
​Choose file
Uploading