THE MARINE & TRANSIT CLAIMS SPECIALISTS
PLEASE READ FIRST
Please fill in all the fields on this form to complete your initial claim notification under the UNIRISC Insurance Program.
Please download the Claim Form (in your preferred format using the buttons below), and complete.
You must upload this form as part of your submission in order to proceed.
You will be unable to continue without providing a completed claim form.
Please check your spam email folder if you have not received a response from us within 1-2 business days.
Your Details
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Address
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Country
AFGHANISTAN
ALBANIA
ALGERIA
ANGOLA
ANTIGUA & BARBUDA
ARGENTINA
ARMENIA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BOSNIA HERZEGOVINA
BOTSWANA
BRAZIL
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CAMBODIA
CAMEROON
CANADA
CENTRAL AFRICAN REPUBLIC
CHAD
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CHINA
COLOMBIA
CONGO DEMOCRATIC REPUBLIC
CONGO REPUBLIC
COSTA RICA
CROATIA
CUBA
CYPRUS
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DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS
FAROE ISLANDS
FIJI
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FRANCE
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GUATEMALA
GUINEA CONAKRY
GUINEA EQUATORIAL
GUINEA-BISSAU
GUYANA
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HONDURAS
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ICELAND
INDIA
INDONESIA
IRAN
IRAQ
IRELAND
ISRAEL
ITALY
IVORY COAST
JAMAICA
JAPAN
JORDAN
KAZAKHSTAN
KENYA
KOREA (NORTH)
KOREA (SOUTH)
KUWAIT
KYRGYZSTAN
LAOS
LATVIA
LEBANON
LIBERIA
LIBYA
LITHUANIA
LUXEMBOURG
MACAU
MACEDONIA
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
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MAURITIUS
MEXICO
MOLDOVA
MONGOLIA
MONTENEGRO
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NEPAL
NETHERLANDS
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NORWAY
OMAN
PAKISTAN
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
POLAND
PORTUGAL
PUERTO RICO
QATAR
REUNION
ROMANIA
RUSSIA
RWANDA
SAMOA (WESTERN)
SAUDI ARABIA
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SINGAPORE
SLOVAKIA
SLOVENIA
SOMALIA
SOUTH AFRICA
SPAIN
SRI LANKA
ST LUCIA (WI)
ST VINCENT & GRENADINES (WI)
SUDAN
SUDAN, SOUTH
SURINAME
SWAZILAND
SWEDEN
SWITZERLAND
SYRIA
TAIWAN
TAJIKISTAN
TANZANIA
THAILAND
TIMOR LESTE
TOGO
TRINIDAD AND TOBAGO (WI)
TUNISIA
TURKEY
TURKMENISTAN
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
URUGUAY
USA
UZBEKISTAN
VENEZUELA
VIETNAM
VIRGIN ISLANDS
WEST BANK & GAZA STRIP
YEMEN
ZAMBIA
ZIMBABWE
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Cargo Location
Same as Above
Address
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Country
AFGHANISTAN
ALBANIA
ALGERIA
ANGOLA
ANTIGUA & BARBUDA
ARGENTINA
ARMENIA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BOSNIA HERZEGOVINA
BOTSWANA
BRAZIL
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CAMBODIA
CAMEROON
CANADA
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
COLOMBIA
CONGO DEMOCRATIC REPUBLIC
CONGO REPUBLIC
COSTA RICA
CROATIA
CUBA
CYPRUS
CZECH REPUBLIC
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS
FAROE ISLANDS
FIJI
FINLAND
FRANCE
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GUATEMALA
GUINEA CONAKRY
GUINEA EQUATORIAL
GUINEA-BISSAU
GUYANA
HAITI
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN
IRAQ
IRELAND
ISRAEL
ITALY
IVORY COAST
JAMAICA
JAPAN
JORDAN
KAZAKHSTAN
KENYA
KOREA (NORTH)
KOREA (SOUTH)
KUWAIT
KYRGYZSTAN
LAOS
LATVIA
LEBANON
LIBERIA
LIBYA
LITHUANIA
LUXEMBOURG
MACAU
MACEDONIA
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MAURITANIA
MAURITIUS
MEXICO
MOLDOVA
MONGOLIA
MONTENEGRO
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NEPAL
NETHERLANDS
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NORWAY
OMAN
PAKISTAN
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
POLAND
PORTUGAL
PUERTO RICO
QATAR
REUNION
ROMANIA
RUSSIA
RWANDA
SAMOA (WESTERN)
SAUDI ARABIA
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SINGAPORE
SLOVAKIA
SLOVENIA
SOMALIA
SOUTH AFRICA
SPAIN
SRI LANKA
ST LUCIA (WI)
ST VINCENT & GRENADINES (WI)
SUDAN
SUDAN, SOUTH
SURINAME
SWAZILAND
SWEDEN
SWITZERLAND
SYRIA
TAIWAN
TAJIKISTAN
TANZANIA
THAILAND
TIMOR LESTE
TOGO
TRINIDAD AND TOBAGO (WI)
TUNISIA
TURKEY
TURKMENISTAN
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
URUGUAY
USA
UZBEKISTAN
VENEZUELA
VIETNAM
VIRGIN ISLANDS
WEST BANK & GAZA STRIP
YEMEN
ZAMBIA
ZIMBABWE
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Cargo Details
Description of Shipment
Additional Comments
Supporting Documents -
You must complete and attach your claim form below to proceed
Please choose up to 20 documents to support the claim (Total maximum file size 10MB)
* You MUST upload your Claim Form before submitting.
CONTACT US
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info@wkwebster.com
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www.wkwebster.com