Motor Fire/Theft Report Form

IMPORTANT NOTES - Please read these notes before completing this form

Our aim is to provide you with a fast and fair claims service. To help us to help you would you please:

1. Fully complete ALL relevant parts.
2. If a question does not apply write “not applicable”. Crossing out or not answering a question will cause delay.
3. Ensure that the police and/or fire department have a record of the loss.
4. Pass all letters from other parties to us. We will deal with them as necessary.

ASSESSMENT

1. To help us evaluate this claim we may ask one of our claims inspectors or a loss adjuster to call upon you to discuss the loss.
   If this is necessary you will be advised and they will contact you direct to make an appointment.
2. Insurers exchange information with each other to prevent fraudulent claims.

DOCUMENTATION

If the vehicle is still missing or considered a total loss please attach the following to assist valuation

WAITING PERIOD

If the vehicle is subject to theft and still missing then we will usually wait for a minimum of FOUR weeks for the vehicle to be recovered. However do not wait till the end of this period before reporting the loss. Tell us immediately so that we can commence our enquires and be in a position to consider the claim at the end of the waiting period.

REPAIR PROCEDURES

lf the vehicle is recovered and you are able to drive it safely then please obtain an estimate for repair and send it to us as soon as possible. If your vehicle is not driveable please telephone us immediately for further instructions.

WHAT IS NOT COVERED

You may have to meet various expenses which are not covered by your policy. The most common are travelling costs, loss of earnings and the hire of another vehicle whilst yours is missing or being repaired.
Accessories or special parts may not be covered, unless previously advised to us.

When and where was vehicle last seen?

When was loss or damage discovered?