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New Claim
Kindly fill the form below to submit your claim.
Claim Information
User type
Please select user type
Driver
Rider
Phone number (used on bolt)
Full name
Email
Contact Number
Date of Accident
Time of Accident
Time of Accident
Pickup Location
Where it happened(e.g at lekki toll)
Brand of phone used on bolt (e.g Samsung)
Model of phone used on bolt (e.g Samsung S7)
Trip Status
Please select trip status
On A Trip
Just Ended A Trip
Waiting For Driver
What are you claiming on?
Personal Item
Medical Expenses
Death claim
Description of goods lost or damaged
Description or manner of loss
I confirm all my information entered are correct?
Complete