01623 650750

Opening Hours 9am-5pm Monday-Friday

01623 663105

Opening Hours 9am-5pm Monday-Friday

01623 663101

Opening Hours 9am-5pm Monday-Friday

claims@aips.co.uk 01623 663110

Opening Hours 9am-5pm Monday-Friday

Home Claim Report Form

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Step 1 -The Policy Holder

 Yes No

Step 2 -Details of Property

 Yes No
 Yes No
 Yes No
 Yes No
 Yes No

Step 3 -Details of Loss and Damage

Step 4 -Police details (Theft/ Malicious Damage or Loss)

Step 5 -Details of items claimed for

Item 1
Upload Original Purchase Reciept: Upload Replacement Estimate:
Item 2
Upload Original Purchase Reciept: Upload Replacement Estimate:
Item 3
Upload Original Purchase Reciept: Upload Replacement Estimate:
Item 4
Upload Original Purchase Reciept: Upload Replacement Estimate:
Item 5
Upload Original Purchase Reciept: Upload Replacement Estimate:
Item 6
Upload Original Purchase Reciept: Upload Replacement Estimate:
Statement: The above answers to our questions will be the basis the Insurers will use for consideration of your claim. You must ensure that all information is true and correct to the best of your knowledge and belief and that all material facts have been disclosed. A material fact is one that is likely to influence your Insurers decision regarding cover on your policy. If you are in any doubt as to whether a fact is material, you must disclose it.
I confirm I have read and understood this statement  Yes I Understand

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