Submit a request

Please enter all the relevant details and declaration of your request. A member of our support staff will respond as soon as possible.

Format: dd/mm/yyyy, for example 31/10/1980

Do you have an existing policy with Bingle?

Enter your policy number as shown on your insurance schedule. Your policy number is 'CAR' followed by 9 digits (eg, CAR123456789).

Please choose a reason from the dropdown list.

Add file or drop files here