60-Second Claim Form | British Non-Fault Claims

Your Details

Full Name

Contact Number

Email Address

Date

Time

Location

I'm not sure of the exact location

Was anyone injured?

YesNoNot Sure

Other party's vehicle registration (if known)

Any other details about the other party?

Make

Model

Registration

Do you have photos of the incident or vehicle damage?

YesNo

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Click to select photos

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