Enter invoice details
*Required field
Create Claim
Invoice should not be blank
Invoice should not be blank
Incident Date should not be blank
Repairable*:
Yes
No
Type of Damage*
Puncture
Impact Brake
Blow
Type of Damage should be select
Number of Punctures
1
2
3
Repair Invoice*
Invoice should be upload
Warranty Details
F/R Combination
Yes
No
