Business interruption claims form

Step 1 of 2

Complete your details below and we will be in touch with you soon. If you require any assistance completing this form, or would prefer to make your claim by telephone please do not hesitate to contact us on:

0800 028 033

All fields are mandatory unless otherwise stated.

Policy holder details

Policy number

This can be found on your policy documents.

Name of policy holder

Trading name

Email address

Confirm email

Contact phone number

Postal address

Address line 1

Address line 2

Town or city

County

Post code

Are you VAT registered?

Yes