Forms Please click on one of the links below to view the relevant form. Proposal Forms Motor and Goods in Transit Proposal Form VIEW HERE Debit Order Form VIEW HERE Broker fee Consent Form VIEW HERE Claim Forms Glass Claim Form VIEW HERE Third Party Claim Form VIEW HERE Goods in Transit Claim Form VIEW HERE Mechanical Breakdown Claim Form VIEW HERE Motor Accident Claim Form VIEW HERE Motor Theft & Hijack Claim Form VIEW HERE Property Loss Damage Claim Form VIEW HERE Spillage Clean-Up Claim Form VIEW HERE Merx Protect Claim Form VIEW HERE For further information email info@merxum.co.za or phone +27 86 100 6379
