To complete this form, you will need:
All claims
- details of where the incident happened
- details of when the incident happened
- photographs of the location - if you have them (files less than 2MB)
- witness name and contact details if applicable
- police incident number if applicable
- LCC report number if applicable
Property claims including vehicle damage
- vehicle make, model and mileage if the claim is for vehicle damage
- photographs of the damage caused (files less than 2MB)
- two estimates for repair or all receipts and invoices (files less than 2MB)
Personal injury claims
- national insurance number and occupation
- if medical attention was required, details of when and where care was received
- details of treatment given and ongoing symptoms
We advise you to prepare these in advance. You only have 20 minutes to complete each page.