🛡️ Z ASSIST – CLAIM FORM

Please ensure all personal details match the information on your policy document.

Full Name

Order ID

Mobile Number

Email Address

Address

This information is crucial for verifying the device covered under the policy.

Brand / Model

IMEI Number

Date of Purchase

Please select **only one** option that best describes the nature of your claim.

Accidental Damage
Liquid Damage
Extended Warranty
Other:

Provide specific details about *when* and *how* the incident occurred.

Date & Time

Location

Brief Description

Please upload the required files below. Documents marked with * are mandatory.

Invoice / Bill

Damage Photos

IMEI Proof

ID Proof