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Claims Form
Owner's Name:
Contact No:
Email:
Occupation:
Age:
Driving Experience:
Accident History:
Free Text
Other Driver:
Name:
Age:
Driving Experience:
Free Text
Vehicle:
Make & Model:
Year:
Engine Size:
Value:
Current no claim discount:
Current Insurance company:
Select Type of Cover:
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Comments:
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Get in Touch
P. O. Box GMN 636
Gablewoods, Castries
Saint Lucia
Telephone: (758) 456-0680 | (758) 456-0880
Mobile: (758) 720-9063 | (758) 720-9068
FAX: (758) 456-0800
E-mail:
info@combinedinsuranceslu.com
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Business Hours
Our Support Hotline:
(758) 484-9760 or (758) 716-5595
Monday – Friday - 8:00 am to 4.30 pm
Saturday - Sunday: Closed
Bank Details
First Caribbean International Bank
Bridge Street, Castries
Saint Lucia
A/C # 0106986393
Swift Code: FCIBLCLC
IMPORTANT NOTICE
Renewal of policies MUST be done on or before the due date to guarantee continuity in coverage.
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Combined Insurance Services
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