If you're ready to make a claim, complete your details below and a member of our claims team will contact you to arrange your next steps.
Upon submission of this form, you may be asked to supply documents, evidence or medical certificates to substantiate your claim.
In the event of bodily injury resulting in death, please contact us directly on +44(0) 1202 038 946 to discuss your claim.
Please be aware that any inaccurate statements or the withholding of information will render your claim void. It may also result in criminal prosecution against you if false and dishonest information is provided.
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