Digital Forms

Debit Form


Authority

Type of Account(Required)

Travel Insurance Details

1Your Personal Details
2Trip Details

Tell us about yourself

Name
MM slash DD slash YYYY

Business Insurance Proposal

1Tell us about yourself
2Give us details on your insurance policy
3Declare this proposal

Your Details

Name of Insured(Required)
DD slash MM slash YYYY
DD slash MM slash YYYY

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Hello 👋
Thank you for contacting Lidwala Insurance Company. How can we assist you today? Please note that our office hours are from 8 am to 5 pm, Monday to Friday.