All fields are mandatory for registration.
© 2013 / Ref: ART: Occupational Accidents Insurance Company / SAP: Personal Accidents Insurance / SAPCCS: Personal Accidents Insurance Taken out at Centro Costa Salguero S.A.
I hereby declare that the information stated herein is true. I hereto attach copies of the pertinent certificates.
The procedure will have been completed only after submittal of pertinent certificate or insurance policy. To download applicable requirements, CLICK HERE.
For the procedure to be valid, all fields in the form must be completed.