Ensurance claims notification

  • Step 1

    Insurance information

  • Step 2

    You and your car

  • Step 3

    What happened

  • Step 4

    Additional info

  • Step 5

    Summary

Please enter the details below to begin your claim

Please enter your registration number
Please enter Valid policy number
Please enter the motor insurer details
Please enter Valid policy number

Please provide the vehicle's current location

Please enter a valid house/building number
Please enter your address
Please enter valid postcode

Please enter your details below

Please enter your title
Please enter your first name
Please enter your surname
Please enter a valid house/building number
Please enter your address
Please enter your postcode
Info tip icon
Please enter your telephone number
Please enter a valid vehicle model
Please enter a valid vehicle registration

Please enter the drivers details below

If you would prefer to talk to an advisor, please call 0333 043 3783, we're happy to take all the information over the phone.

Important note: Please use the above ‘back’ button if you wish to review or update the previous step. Using the back button on your web browser will navigate you away from this page and you will lose any details that you have already entered.

Please provide as much information as possible about the incident

info tip icon
info tip icon
info tip icon
Ateca

If you would prefer to talk to an advisor, please call 0333 043 3783, we're happy to take all the information over the phone.

Important note: Please use the above ‘back’ button if you wish to review or update the previous step. Using the back button on your web browser will navigate you away from this page and you will lose any details that you have already entered.

Please provide as much information as you can regarding other people involved, and any witnesses.

Third Party Driver information

Witness information

If you would prefer to talk to an advisor, please call 0333 043 3783, we're happy to take all the information over the phone.

Important note: Please use the above ‘back’ button if you wish to review or update the previous step. Using the back button on your web browser will navigate you away from this page and you will lose any details that you have already entered.

Please review the details of your claim below. You can update any details by selecting the button below each section before submitting your claim.

Claim

Registration number {{$.regPlate}}
Ensurance policy number {{$.ensurancePolicyNumber}}
Comprehensive motor insurer {{$.comprehensiveMotorInsurer}}
Comprehensive motor insurance policy number {{$.comprehensiveMotorInsurancePolicyNumber}}
Type of incident {{ SC.TypeOfAccident() }}

Vehicle

Is the vehicle still drivable {{$.isVehicleDrivable | yesNo}}

Vehicle location details

House/building number {{$.vehicleLocationDetails.houseNameNumber}}
Address line 1 {{$.vehicleLocationDetails.addressLine1}}
Address line 2 {{$.vehicleLocationDetails.addressLine2}}
County {{$.vehicleLocationDetails.county}}
Post code {{$.vehicleLocationDetails.postcode}}
Change Vehicle drivable / location details

Your address

Title {{$.personalDetails.title}}
First name {{$.personalDetails.firstName}}
Surname {{$.personalDetails.surname}}
House/building number {{$.personalDetails.houseNameNumber}}
Address line 1 {{$.personalDetails.addressLine1}}
Address line 2 {{$.personalDetails.addressLine2}}
County {{$.personalDetails.county}}
Post code {{$.personalDetails.postcode}}
Preferred contact telephone number {{$.personalDetails.telephoneNumber}}
Vehicle make SEAT
Vehicle model {{$.personalDetails.vehicleModel}}
Vehicle registration {{$.personalDetails.vehicleRegistration}}
Were you driving at the time of the incident? {{$.claimantWasDriving | yesNo }}

Driver details

Title {{$.driverDetails.title}}
First name {{$.driverDetails.firstName}}
Surname {{$.driverDetails.surname}}
House/building number {{$.driverDetails.houseNameNumber}}
Address line 1 {{$.driverDetails.addressLine1}}
Address line 2 {{$.driverDetails.addressLine2}}
County {{$.driverDetails.county}}
Post code {{$.driverDetails.postcode}}
Preferred contact telephone number {{$.driverDetails.telephoneNumber}}
Change your address

About the incident

Incident date {{incidentDateFormattedNicely}}
Incident location {{$.incidentLocation}}
Time of incident {{$.incidentTime}}
Brief description of the incident {{$.incidentDescription}}
claims car diagram
Change incident details

Third Party Driver information

Third Party Driver

Title {{thirdParty.title}}
First name {{thirdParty.firstName}}
Surname {{thirdParty.surname}}
House/building number {{thirdParty.houseNameNumber}}
Address line 1 {{thirdParty.addressLine1}}
Address line 2 {{thirdParty.addressLine2}}
County {{thirdParty.county}}
Postcode {{thirdParty.postcode}}
Preferred contact telephone number {{thirdParty.telephoneNumber}}
Vehicle registration {{thirdParty.vehicleRegistration}}
Vehicle make {{thirdParty.vehicleMake}}
Vehicle model {{thirdParty.vehicleModel}}
Insurance company {{thirdParty.insuranceCompany}}
Policy number {{thirdParty.insurancePolicyNumber}}
Change third party driver details

Witness information

Witness

Title {{witness.title}}
First name {{witness.firstName}}
Surname {{witness.surname}}
House/building number {{witness.houseNameNumber}}
Address line 1 {{witness.addressLine1}}
Address line 2 {{witness.addressLine2}}
County {{witness.county}}
Postcode {{witness.postcode}}
Preferred contact telephone number {{witness.telephoneNumber}}
Independent witness? {{witness.isIndependent == "Y" ? "Yes" : "No"}}
Change witness details

Call back

When would you like us to call you back?

Important note: Please use the above ‘back’ button if you wish to review or update the previous step. Using the back button on your web browser will navigate you away from this page and you will lose any details that you have already entered.

This form is currently unavailable.

Please try again or contact our customer services team.