Excess Insurance Claim


Dear all,

Please use the form below to submit a new claim for Excess Insurance.

Please provide a brief description of the incident.

  1. Evidence the excess amount has been paid to your motor insurer following your claim
    2. %
    / s
    /
    remove
    add
    remove all
  2. Evidence that your claim with your main insurer has been settled stating that you were at fault.
    3. %
    / s
    /
    remove
    add
    remove all
  3. Certificate of main insurance policy that you have paid the excess on.
    4. %
    / s
    /
    remove
    add
    remove all
I declare that, to the best of my knowledge and belief, the answers given on this form and the documentation enclosed to support my claim are true and accurate.