CLAIM

Below you can claim on any tyres that have failed to meet their expected life span.

Access Code

Invalid PassCode

Policy Number

Claim not found

Full Name

Cell Number

Policy Number

ID / Passport Number

Vehicle Registration

Date of Loss

Store Email Address

Only for sending you a copy. We will not save your details.

Store

Counterhand

Store Cell Number

Number of Tyres

DOT Code

Production code: the last four figures show the date of manufacture, e.g. 0119 indicates the 01st week of 2019.

Tread Depth

Additional Information

Tread Pattern

Tyre Size

* Should the insured SKU no longer be available. Call (012) 824-2789 or Email: quickcoverclaims@impacuma.co.za for authorization.

Photograph(s) of tyres

Please upload individual photos, clearly showing the following:
  • For multiple tyre claims, a set of photos as below is required for each tyre
  • Full tyre face condition
  • Full tyre tread and tyre size with DOM facing upward
  • Photos to show the tread measurements of inner, middle and outer

Please upload proof of identity (ID or Driver's licence)

**For a fleet customer, a company registration letter or letterhead for the businesses is required

(Maximum file size: 2MB)

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