🛡️
Why this form? In line with UAE Central Bank guidelines, insurance enquiries and document exchange are no longer handled over WhatsApp. This secure form replaces that — your data is encrypted and stored on our UAE-based Azure infrastructure.
1
Product2
Your Details3
Documents4
Verify & Submit1. What are you enquiring about?
Select the type of insurance you need a quote for.
🚗
Motor Insurance
New, renewal or transfer
🏥
Medical Insurance
Individual, family or group
🛡️
General Insurance
Home, travel, business & more
2. Your Details
We'll only use this to contact you about your enquiry.
Leave blank if this is a personal enquiry.
Leave blank if you prefer to be contacted only by phone/SMS.
Not sure? No problem — just leave this blank.
3a. Other Details
Tell us a bit about the cover you're looking for.
Not sure? No problem — just leave this blank.
3a. Medical Cover Details
A few quick questions to scope your coverage.
If you have a preferred network or hospital, let us know. Not sure? Just leave this blank.
3a. General Insurance Details
Tell us a bit about what you'd like to insure.
Free text — there are many lines of business under General. Just type what you need.
4. Upload Documents
Tap any tile to add one or more files (JPG, PNG, PDF — max 10 MB each). For families and SMEs, you can upload multiple Emirates IDs, passports, etc.
📇
Emirates ID (front & back)
Tap to upload — multiple files OK
🪪
Driving Licence
Tap to upload — multiple files OK
🚗
Vehicle Mulkiya / Reg. Card
Tap to upload — multiple files OK
📄
Existing Policy (if renewal)
Tap to upload — multiple files OK
📇
Emirates ID (primary)
Tap to upload — multiple files OK
🛂
Passport Copy
Tap to upload — multiple files OK
👨👩👧
Dependents' IDs
Tap to upload — multiple files OK
📄
Existing Policy (if any)
Tap to upload — multiple files OK
📎
Supporting Documents
Tap to upload — e.g. Emirates ID, Passport, Trade Licence, Existing Policy, Travel Itinerary…
Multiple files OK · 10 MB each
Multiple files OK · 10 MB each
5. Verify & Submit
Confirm your number to keep things secure and compliant.
© 2026 Newtech Insurance Brokers LLC • Licensed by the UAE Central Bank • Hosted in UAE 🇦🇪