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ONLINE CLAIM

When you need assistance MotoClaims delivers.

Simply fill out your details and a member of our claims teams will be in touch within 1 hour if between our business hours of 09.00 and 17.00 or 24 hours if outside these hours.

Please note that any claim for injury compensation our panel solicitors will not deduct any monies from your claim you will keep 100% of the damages

Name	*
House No/Name	*
Address	*
Postcode	*
Home Telephone	*
Mobile
Your Insurance Company	*
Insurance Type	*
Accident Date	*
Time of the accident
Location
Your Vehicle Details:
Make	*
Model	*
Registartion	*
Is the vehicle roadworthy	Yes No
Damage of vehicle	*
Brief details of injury(if any)
Why the accident was not your fault?
Do you have details of Third Party?	Yes No
If yes:
Third Party Vehicle Registration
Name
Address
Insurance details
Telephone No

I agree to the terms and conditions *