Acorn International Network is committed in the assisting clients in their claim process from the day one of the claim. Please notify us soonest for any claim as late reporting to the insurer may jeopardize the claim admissibility.

Please assist to provide the following of details.

Insured Name*:
Contact Person*:
Telephone*:
Email*:
Claimant Name:
(if different from Insured)
Telephone:
Email:
Type of Insurance:
if others:
Date of Loss:
Description of Loss:
Incident arise to the Loss:
Estimated Loss:$
(Important for Property, Liability, Marine Cargo Claim):
Witness's Name:
Witness's Telephone:
Remarks: