Notify us of a Claim

Whose Policy is it?*

My NAGICO Policy
Someone else’s Policy

Select your NAGICO territory*

Type of Policy- Anguilla (my policy)*

Type of Policy- Anguilla (someone policy)*

Type of Policy- Antigua (my policy)*

Type of Policy- Aruba (someone policy)*

Type of Policy- BVI (my policy)*

Type of Policy- BVI (someone policy)*

Type of Policy- Bonaire (my policy)*

Type of Policy- Bonaire (someone policy)*

Type of Policy- Curacao (someone policy)*

Type of Policy- Curacao (my policy)*

Type of Policy- Dominica (my policy)*

Type of Policy-Grenada (my policy)*

Type of Policy-Montserrat (someone policy)*

Type of Policy-Montserrat (my policy)*

Type of Policy-Nevis (someone policy)*

Type of Policy-Nevis (my policy)*

Type of Policy- Statia (someone policy)*

Type of Policy- Statia (my policy)*

Type of Policy- Saba (someone policy)*

Type of Policy- Saba (my policy)*

Type of Policy- SKN (someone policy)*

Type of Policy- SKN ( my policy)*

Type of Policy- SLU (my policy)*

Type of Policy- SXM (someone policy)*

Type of Policy- SXM (my policy)*

NAGICO insured's policy number*

NAGICO insured's first name*

NAGICO insured's last name*

NAGICO insured's name (when insured is a company)

NAGICO insured's name (when insured is a company)*

Policy number*

Your first name*

Your last name*

Your phone number*

Your email address*

Select your Intermediary – St Martin*

Select your Intermediary – Anguilla*

Select your Intermediary- Antigua*

Select your Intermediary- Aruba*

Select your Intermediary-Bahamas*

Select your Intermediary – BVI*

Select your Intermediary – Dominica*

Select your Intermediary – Grenada*

Select your Intermediary – Guadeloupe*

Select your Intermediary-Martinique*

Select your Intermediary-Montserrat*

Select your Intermediary-Saba*

Select your Intermediary-St. Eustatius*

Select your Intermediary-St. Kitts*

Select your Intermediary-Nevis*

Select your Intermediary-St. Lucia*

Select your Intermediary-St Maarten*

Select your Intermediary-Trinidad & Tobago*

Select your Intermediary*

Select your Intermediary-TCI*

Select your Intermediary*

Are you transitioning from a CLICO policy?*

Yes
No

Were there any persons injured in this incident?*

Yes
No
Not Applicable

Date of loss (my policy)*

Approx. time of loss occurrence*

:

Approx. time of loss occurrence*

:

Approx. time of loss occurrence*

:

Please describe your loss (e.g. how, where, when, what happened, with whom)*

Upload Relevant Documents*

Drop files here or