Av. Kenneth Kaunda, 518, Maputo
mcs@mcs.co.mz
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Home page
MCS
Personal
Car Insurance
Health Insurance
Personal Accidents Insurance
Travel Insurance
Family Protection Insurance
Multi-risk and home insurance
Corporate
Car Insurance
Health Insurance
Personal Accidents Insurance
Industry and Commerce Multi-Risk
Travel Insurance
School Personal Accidents Insurance
Documents
Claim Report Documents
Claim Reports
Branches
Contacts
News
FAQ’s
Accident at Work Report
Seguradora de Moçambique, S.A.
Av. 25 de Setembro, Nº 1383 - Maputo
Tel: +258 21 357 000 | Fax: +258 21 357 001
Employer Identification
Name
*
Address
*
Activity
*
Policy Number
*
Identificação do Sinistrado Identification of the Claimant
Name
*
Address
*
Date of Birth
*
Gender
*
Gender
Male
Female
Profession
*
Professional Category
*
Accident data
Date of the Accident
*
Time of Accident Hora do
*
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Accident site
*
Working Hours
*
Circumstances of the Accident
Detailed Description
*
Consequences of the accident
Nature of the Injury
*
Location of Injury
*
Description of injuries
*
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