Claims notification

If you wish to make notification of a claims incident please complete and submit the below form, and our consultants will be in touch in the next business day.

If the matter is urgent and it is outside of our business hours please contact your insurer directly.

Section 1 - Policy information

Client number

Policy number

What is your name?*

What is your telephone number?*

What is your email address?*

Will you be the main contact for this claim?*

Name of the main contact?*

Telephone number of the main contact*

Email of the main contact*

Are you the Insured Policyholder?*

Please provide the name of the Insured Policyholder*

Please provide authorised persons name*

Please provide authorised persons telephone number*

Do you give authorisation for anyone else to act on your behalf for this claim?*

Please provide the added authorised persons name*

Please provide the added authorised persons telephone number

Please note we will need to call each party to confirm

Section 2 - Event details

What date did the incident occur?

What time did the incident occur?

Describe the event that occurred

Home & contents Insurance

Car insurance

Claims notification