Claim Referral Form

Car Insurance

We know that making a claim can be a stressful time, so we’re here to help every step of the way and get things back to normal for you as quickly as possible. Please record brief details of your claim on the form below and we'll get in touch with you by close of business on the next working day.

If you would like further assistance, please call 0345 125 2450.
Lines are open: Mon-Fri- 8am-9pm, Weekends and Public Holidays- 9am-5pm.

Policy number (if known)

*Vehicle registration number

*Policyholder first name

*Policyholder last name

Your name (if you are not the policyholder)

*Best telephone number to call

*What's the best time to call you?

*Email address

*Date of incident

*Type of claim

*Description of the incident

*Do you take responsibility for the incident?

If not, please give details

*Is the vehicle secure?

*Where is the vehicle currently?

Third party details

Third party vehicle registration number

Third party vehicle make and model

Tell us about any damage to the third party vehicle

*Is the vehicle driveable?

Word verification

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*Mandatory field to be completed