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Travel Insurance Claim Form

Before downloading the claim form  please read the following General Information carefully.

General Information

When filling the claim form, fill all the relevant details of the relevant sections of the form.  It must be accompanied by certain documents and cannot be e-mailed.

After filling the claim post the following to Cordina Insurance Agency Ltd.:

  • The Claim Form, with the relevant details completed
  • Your policy wording or insurance certificate
  • Your holiday booking and confirmation invoice/travel documents
  • All documents requested in the form

Please  Note:

  • We cannot accept copies - please forward original documents to us
  • We will be able to handle your claim more easy if all questions are answered and all associated documents are given
  • Claims can only be considered in accordance with the cover provided by your policy wording.


Submitting your Claim


Download the claim form now:



Mail the relevant documents to:


Cordina Insurance Agency Ltd.

Schwarzmeer und Ostsee Versicherungs-Aktiengesellschaft 

Malta Agents & Attorney

Claims Services,

55, Kingsway Palace,

Republic Street,

Valletta VLT04


In order to download the forms, you need the Acrobat Reader. To download the latest version for free click here

Cordina Insurance Agency Ltd. 2003