Request a claim form

Personal Accident

For all claims under the Personal Accident Section of the policy you need to send us:

  • Details of your insurance policy, including your policy number and your Insurance Certificate or a copy of the email you received confirming your insurance
  • The booking invoice for your trip showing us exactly what you paid (and therefore what you are claiming
  • A completed Medical Declaration
  • If the claim relates to the death of an insured person we will also require (as appropriate) the Death Certificate, Grant of Probate or letters of administration
  • Where relevant we may also require Police and Coroner's reports and inquest findings

We suggest that you carefully review the Personal Accident Section of the policy as this is in the form of a benefit payment which is dependent on the nature and extent of any injuries.

Important information about your supporting documents
We will scan any paper documents you send us, and keep them as electronic records. In most cases, we will destroy any paper documents you send us after six months.

Please complete the form below all fields are required:
Title
First name
Surname
Address
City
County
Postcode
Telephone
Email
Confirm Email
Date of Birth
Policy company
Policy number
Policy Issue Date
Travel Date From
Travel Date To
Holiday booking date
Travel destination
Incident date
Short Description of Claim
Information about yourself, your health, medical history and any treatment you have received is sensitive personal information.
  • We need your consent to process your sensitive personal information.
  • If you would like to know what information we hold about you or to request erasure, please contact us.
  • For a full description of how we gather and use your personal information and your rights under GDPR, please review our privacy policy on our website Privacy Policy