Your claim 1Start2Your details3Declaration Get started with your claim - tell us what happened Reference numberYou can find this in the top right-hand corner of documents for the policy you want to make a claim on and in emails from us. It is either called your 'customer reference' or your 'policy number'. Customer references are either 8 or 10 digits long, and may be followed by a policy reference. What are you claiming for?* Car House Other What happened to your car?* Damaged while parked Stolen Accident while driving Other How was your car damaged?*Pick the best option, or if there isn't a match select 'Other'. Hit by another vehicle Broken into Vandalism Weather Fire Other What happened to your house?* Damaged Fire Broken glass Natural disaster Other How was your house damaged?*Pick the best option, or if there isn't a match select 'Other'. Burglary Vandalism Accidental damage Water Weather Other What caused the damage?*EarthquakeLandslideFloodTsunamiVolcanic activityCyclone/windAs you answered 'Other', please tell us what happened*When did it happen?*It's OK if you don't know the exact time, just put in an estimate.Hour - When did it happen?*Hour000102030405060708091011121314151617181920212223Min - When did it happen?*Min001020304050 Your detailsName* Prefix TitleMrMrsMsMissDr First Last Date of birth (dd/mm/yyyy)*Email address*We'll send all important messages to this email address. Phone number*Postal address*What's the best way of contacting you?*If you have a preferred contact method we'll try get hold of you that way first. Phone Email Declaration I declare the information provided in this form is true and correct and understand NPI will use this to assess my claim. I give NPI permission to disclose to/and obtain from other parties, information to process my claim and for other insurance related purposes. For further information please refer to our Terms and Conditions. I understand my obligations to provide correct and complete information. If I do not, I understand that this may affect my rights under my policy.*I have read and accept the declaration:* Yes No
