EMERGENCY TELEPHONE NUMBER - 0871-6634314 FOR OUT OF HOURS NEW INSTRUCTIONS

This out of hours number is only for Insurance Companies and Brokers instructing us on new claims out of normal business hours.

Loss Instruction Sheet Please enter the details requested and click the submit button at the bottom of the screen. Mandatory items have a bold title.
Your Details
Company/Broker Name:
Branch:
Official:
E-mail address:
Telephone number:
Policy Details
Policy Number:
Name of Insured:
Address of Insured:
Telephone Number of Insured:
Loss Details
Claim Reference:
Loss Type:	Escape of Water Fire Storm Theft Subsidence Accidental Damage Damage to Drains Explosion Lightning Business Interruption Denial of Access All Risks Travel Liability Flood Other
Situation of Damage:
Time, day and date of loss :
Item Number Description Sum Insured
Excesses:
Estimate:
Deal on delegated authority?	Yes No
Any Special Instructions: