Each submission is applicable for one claim.
Fields marked * are mandatory information.
This claim form will take approximately 3 minutes to fill.

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PERSONAL DETAILS
Name (as in NRIC) * This field is required
Contact No. * This field is required
Email Address * This field is required
CLAIM & INCIDENT DETAILS
Incident Date*
Incident Time*

Claim Reason* This field is required
Card Type*
CEPAS Card Number* card 1 : This field is required
Mode of Transport* This field is required
Other Details for the Claim (maximum 199 characters)
MODE OF REFUND
Please select your preferred mode of refund*
Direct Credit to your selected bank account after 3 working days from the date of claim approval. You will receive an SMS upon claim approval
Visit any SimplyGo Ticket Office or SimplyGo Kiosk to top up the refund to your CEPAS card after 5 working days
Mode of refund is required to be chosen
 
Please Note:
1. Claims must be made within:
  • 14 days for Stored Value Travel Cards (Concession and non-Concession)
  • 60 days for Contactless Bank Cards
from the incident date. For ‘Top Up Not Encoded’ claims, please file within 30 days from the date of incident.
2. The refund issued for top up to card will be valid for 3 months from the date the claim is filed.
3. For customers filing 'Top Up Not Encoded @ ATM (Concession)' claims, the refund, if any, will be credited into your bank account within 30 working days.
4. SimplyGo reserves the right to approve claim requests based on the veracity of the information provided and card usage behaviour.