Contents, Building & All Risks Claims

Request to Register – Contents, Building & All Risks Claims

Please complete this form so that we can register your claim with the insurer. We may require further details from you and will be in contact if needed.

Name of the Policy Holder

Policy Holder Mobile number

What type of claim do you want to register? Household Contents, Building or All Risks?

Date and time of the event*

Address where event occurred

Description of the event (what happened?)

Did you take pictures? Upload any relevant pics here

If Theft or Burglary - Police Case Number & Where it was reported

What are you doing to prevent a reoccurrence of the Loss?

List & Values of items lost or damaged

Completion of this form does not mean that your claim is registered. We will use this information to do the registration for you with your insurer. You will then be notified of your claim number and what to do next.

Please leave this field empty.