Buy Fire Insurance Online

Protect your valuable asset within 4 steps.  First, provide us the necessary information via our online form.  You will receive an official quotation. Proceed with the payment and you will receive the cover note.  Your property is then protected from the effective date.

Important note: Under Bank Negera’s guideline, your bank cannot force you to buy Fire Insurance through them even if you have a loan arrangement with them.

Fire Insurance Quotation Form

Request for Fire Insurance
Kindly filled up the form below and submit to us. We will work on the proposal and email to you.  For commercial Fire Insurance quotation, please email your previous cover note to: Info@fireinsurance.com.my. We will reply to your email.
Name as per NRIC*
Mobile Phone*
Address to be Insured With Post Code*
Type of insurance coverage
Coverage Date*
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In which year was the insured property built?
NRIC*
E-mail:*
Correspondence Address (if differ from above)
Sum Insured for Property(RM)
Sum Insured for content (RM)
Bank if under Mortgage
Questions:
Question 1: Is the dwelling occupied solely by you and your family ?*
Question 2: Will the dwelling regularly be left unoccupied?*
Question 3: Is your residence is good state of repair and will they be so maintained?*
Question 4: Is optional Insurance required for:*
Question 5: Has any Insurer declined to insure you, refuse to renew or increased your premium?*
Question 6: Is your residence being use for other business purposes other than clerical?*
Question 7: Any claims you have make in the past 5 years. If yes, please list the down and the amount
Word Verification:

 

Insurance companies we represent:

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