Home Claims Form

Submit your claim details below

* Required information

*What can we help you with?

Please select which type of claim would you like to make?

*To enable us to support you throughout the claims journey, is there anything that impacts your day-to-day life that you would like to make us aware of or anything you might need support with?

If you are experiencing financial difficulties, or facing a challenging life event, we want to help and support you as best we can. We will reach out to see how we can help you and support with your claim.

We'll arrange to contact you to discuss this further within the next 2 working days but this will not delay your claim, so please continue making your claim online.

*Are you the policyholder?

Is it the policyholders own vehicle?

*What section of your policy are you claiming under?

Type of damage

Please select the type of damage caused

Has the incident been reported to the police?

*Your name

Please enter your first name and last name

*Postcode

*First line of address

*Your email address

*Your telephone number

*Date of incident / loss

*Incident details

*Description of Item/s

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*Description of damage

*Estimated cost of item / damage

Upload image(s)

Cause of explosion

Cause of fire

Cause of leak

Has the leak stopped or been repaired?

How long did the leak last?

Did the leak cause any damage to a neighbour?

Fire brigade attendance

Item disposed of?

Recent works/maintenance?

Did police attend?

Fire start from neighbour?

Has arsonist been identified?

Any witnesses?

Was the cigarette used by someone other than PH?

Can you obtain details for person who caused fire?

Fire start from neighbour?

Recent works/maintenance?

Photographs?

Stop/Repair Details

Who is the local water company?

Description (Other)

Fire Brigade Reference

Make and model of item that caused damage

How old is the item? (10y+/10y-)

Where was item purchased?

Details of what caused fire?

Can you obtain details of company?

Police Ref

Details of what caused fire?

When was it installed? (6y+/6y-)

Description (Other)

Can you obtain details of company?

Details (other flooded properties)

Description (Other)

Details (flooded before)

Areas of damage?

Has water entered the building or outbuilding?

Are other properties flooded?

Cause of flood?

Property type?

How high was water level?

Has water drained?

Has the property flooded before?

Are you a tenant?

Does anyone currently live in the property?

Is the property habitable?

*Is a breakdown service needed? E.g. RAC, AA?

Is recovery possible?

Has the tree caused any damage?

Who owns the tree?

Has the incident resulted in injury to a third party?

Are the TP details known?

Did the police attend?

Other liability information

Police Reference

Did the fire brigade attend?

Fire Brigade Reference

Are there any witnesses?

When and how did you become aware of the leak?

After becoming aware, what actions were taken to stop the leak?

Has the incident resulted in injury to third party?

What is/was the condition of the roof?

What is/was the condition of the tree?

Has the incident resulted in injury to a third party?

Were any potential issues regarding the tree brought to your attention before the incident?

Has the incident resulted in injury to a third party?

Where did the incident occur?

Has the dog bitten anyone previously?

What breed is the dog?

Any defects/problems with the area that you feel would contribute to someone falling?

Details

Where did the incident occur?

Has the incident resulted in injury to a third party?

Other liability information

Police Ref

Police Station Name

Police Telephone Number

*Location of theft

Point of entry

Was it forced entry?

*Upload pictures

Please upload any pictures that are relevant to your claim

*How would you like to receive updates about your claim?

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