MOTOR CLAIM
What to do & documents needed for motor insurance claim

General Documentary Requirements
- Policy/Endorsement
- Non-Waiver Agreement (Form to be provided by the Adjuster)
- Sworn Statement of Claim (Form to be provided by the Adjuster)
- Affidavit of Loss
- Pictures

Own Damage (OD) / Acts Of Nature (AON) / Total Loss
ASSURED
- OR/CR – Certificate of Registration and Official Receipt
- Driver’s License; if not yet available, the latest OR Any of the following:
- Police Report – if the claim has recovery, the original copy must be submitted
- Affidavit of the driver or owner of the vehicle
- FGen Motor Vehicle Accident Report Form
- Pictures showing the plate no. and the extant of damages sustained (clear copy)
REPAIR SHOP
- Repair Estimate
- Picture or Stencil of Serial & Motor Numbers

CPTL Claim / ETPL – BODILY INJURED and/or DEATH Claim (ETPL-BI)
ASSURED
Documents may be sent via e-mail:
- OR/CR – Certificate of Registration & Official Receipt
- Driver’s License; if not yet available, the latest OR
- Pictures showing the plate no. and the extant of damages sustained (clear copy)
- Stencil of Serial & Motor Numbers
Must submit the Original Copy or Certified True Copy of the following:
- Police Report
- Medical Certificate
- Hospital Bills and/or Medical Receipt

CPTL Claim / ETPL – BODILY INJURED and/or DEATH Claim (ETPL-BI)
CLAIMANT
For Death Claim:
- Must submit the Original Copy or Certified True Copy of the following:
- Death Certificate
- Proof of Affiliation of the Claimant (Birth Certificate or Marriage Contract or Affidavit)

ETPL – Third Party-Property damage (ETPL-PD)
THIRD PARTY
- OR/CR – Certificate of Registration & Official Receipt
- Driver’s License; if not yet available, the latest OR
- Certificate of No. Claim from existing insurance company
- Pictures showing the plate no. and the extant of damages sustained (clear copy)
- Repair Estimate
- Picture or Stencil of Serial & Motor Numbers

CARNAP Claim
Documents may be sent via e-mail:
- OR/CR – Certificate of Registration & Official Receipt
- Driver’s License; if not yet available, the latest OR
Assured must submit the Original Copy the following:
- Police Report on the theft of carnapping incident / Alarm Sheet
- Copy of Complaint Sheet with the Headquarters Traffic Management Group, PNP Crame.
- Certificate of Non-Recovery

File a Motor Claim
Call FGIC Claims Hotline ((+632) 8706-3939 loc. 431) or the branch office servicing nearest you to report the incident. incase either is not available, you can report a claim online.