Customer Claim Form

  • MM slash DD slash YYYY
  • Please enter a number from 11 to 999999.
  • DateMileage 
  • Please note any repairs not authorised by Us prior to the repair work being carried out or any costs other than those specifically agreed and authorised by Us will not be covered
  • Any damage caused by driving the vehicle with a fault is not covered, and part or all of the claim may be declined.