1. We need some specific information about the incident to process your claim. Complete this Online Form.2. Please ensure that you read Schedule 2 of your Credit Facility Agreement to ensure that the incident is covered.3. Phoenix of E.A Assurance will assess your claim and advise within 7 BUSINESS DAYS, if not please contact us.4. Note that if you do not supply all relevant information requested in this form, processing of your claim will be delayed. 5. The name, username and photo associated with your Google account will be recorded when you upload files and submit this form.