- Please print and fully complete the Claim Notification Form. Once done, sign the form, and then mail the form, along with all applicable documents noted below, to the Claims department.
Allianz Global Assistance Claims Department
P.O. Box 277
Waterloo, Ontario, Canada N2J 4A4
- Flight itinerary
- Incident report from airline or airport
- Death Certificate or coroner's report
- Depending on the claim, additional information may be required.
- If you would like your agent or a third party to assist with your claim, be sure to complete and include a Privacy Release Form.
Third Party Privacy Release Form
Agent Privacy Release Form
To assist the processing of your claim, please provide the requested information, including a valid e-mail address. Please note that the security setting of your e-mail account needs to be properly set to avoid our e-mails being directed into your spam folders.