Policy Renewal Request Form – General Insurance Co. Ltd.

Please note the policy is not renewed by submitting this form. One of our customer service representatives will contact you on completion.*

Name*

First Middle Last

Email*

Enter Email Confirm Email

Phone*

I am requesting the renewal of:*

Policy Number	Vehicle Reg No. or Property Location

Upload payment confirmation here

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 512 MB, Max. files: 3.

Eft or wire transfer or payment

Please make the following changes

Name, address, phone number, employer, vehicle particulars, named drivers etc

Upload any updated identification or documents here

Accepted file types: jpg, gif, png, pdf, Max. file size: 512 MB.

proof of address, job letter. drivers licence, name change etc

I will be paying my premium by*