Customer Services
In order that we can process your claim efficiently, please answer the following questions about the claimant:
Title
First Name
Surname
Mr
Mrs
Miss
Ms
Dr
Rev
Other..
Policy Number
Claim Number (if already known)
Date of birth
DD/MM/YYYY
/
/
The claimant(s) relationship to the person named on the schedule
Date, time and place of loss or damage
Please give full details of the circumstances
Was the loss reported to the Courier, Carrier or the police, if so please attach their report, if not please explain why
Please provide details, showing name of the company and the policy number, of any other Insurance that may cover this loss/damage
Have you submitted a claim to any other Insurer in relation to this loss
yes
no
Please complete the following information for all lost/damage items;
Description of item
Date/year of purchase
Original price paid
Proof of ownership/value
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