File a Claim - E-LIFE GUARD PROTECTION

Email(Required)

Phone(Required)

Bike Make(Required)

Bike Model(Required)

Where Purchased(Required)

Concern/Issue with the bike(Required)

Cost of Repair(Required)

Upload your Proof of Purchase, Pictures and Repair Quote.(Required)

Drop files here or

Accepted file types: jpg, jpeg, pdf, png, Max. file size: 20 MB, Max. files: 4.