Breakage of Glass Claim Form

How to claim For Breakage of Glass

Submit to ICWI within 30 days of the incident:

• Completed Breakage of Glass Claim Form
• Copy of driver’s licence
• Copy of motor vehicle fitness and registration certificates
• Copy of certificate of insurance or cover note covering the date of loss

An ICWI representative will inspect glass damage.

Upon approval, ICWI will process the file and authorise repairs.

If repairs must be made immediately, photographs of the damage (including the licence plate) must be submitted, along with the repair bill in ICWI’s name, in order for you to be reimbursed.