Skip to content
Skip to main navigation
Skip to 1st column
Skip to 2nd column
PACIS Insurance Company Ltd
Home
Careers
Newsletters
Branch Network
Faqs
Pacis Mail
Call us on 0730 677000
Who We Are
Corporate History
Mission & Vision
Financial Statements
Directors
Management Team
Branch Network
Individual Products
PACIS Amani Medical Cover
Pacis Pamoja Last Expense Cover
Business Products
General Insurance
Corporate Medical Insurance
Pacis School Bus
Marine Insurance
Institution Products
General Insurance
Corporate Medical Insurance
Pacis School Bus
Marine Insurance
Customer Service
Request Quote
Request For Information
Proposal Forms
Claim Procedure
Download Claim Form
Online Claim Form
Pay Online – Mpesa
Intermediaries
Client and Intermediary Portals
Frequently Asked Questions
Media Centre
News & Events
Photo & Video Gallery
Contact Us
Product Search
Select a Product
Individual Products
Business Products
Medical Insurance
Marine Insurance
Pacis Amani
Corporate Medical
Online Claim Form
Required *
Full Name (As on Policy)
*
Field not valid (required or bad value)
Policy No.
*
Field not valid (required or bad value)
Name of Person reporting Claim
*
Field not valid (required or bad value)
Telehhone No
Mobile No
*
Field not valid (required or bad value)
Residence e.g. Narok
*
Field not valid (required or bad value)
Exit Type
*
1 : : Accident
Accident
1 : : Death
Death
1 : : Withdrawal
Withdrawal
1 : : Termination
Termination
1 : : Retirement
Retirement
Field not valid (required or bad value)
Product Cover
*
1 : : Product A
Product A
Field not valid (required or bad value)
Brief Circumstances of the Claim
*
1 : : Voluntary Obligation
Voluntary Obligation
1 : : Dismissal
Dismissal
1 : : Death
Death
1 : : Migration
Migration
1 : : Early Retirement
Early Retirement
1 : : Normal Retirement
Normal Retirement
1 : : Late Retirement
Late Retirement
Field not valid (required or bad value)
Approximate Calim Amount (Kshs)
c
How to Pay via Mpesa
How to report a claim
Request for information
Join our mailing list
Download online forms
A Member of AKI