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Insurance Claim

Damage Details
1. Please note that we are only able to accept insurance claim forms from the owner of the damaged property.
2. Please confirm that you are the owner of the damaged property*
3. Title*
4. First name(s)*
5. Last name*
6. Daytime telephone*
7. Mobile telephone
8. Email address*
9. 1. Address lookup
    
    Postcode*
    
    Address
  2. Address
    
    Line 1*
    
    Line 2
    
    Line 3
    
    Town
    
    County
    
    Postcode*
10. What was damaged?*
11. How was it damaged?*
12. When did the damage take place? (DD/MM/YYYY)*
13. What time did this happen?*
14. If relevant, please provide details of the vehicle involved
15. How do you know we caused the damage?
16. Are there any witnesses?*
  
  Yes
  
  No
17. Please give us their information
18. Do you have photos of the damage?*
  
  Yes
  
  No
19. Label
  1. Please ensure when uploading photos that the total size of your attachments does not exceed the 5MB limit. If your documents exceed this limit, please send them to us by another secure method. Please note, we do not accept responsibility for documents in transit.
  2. Upload Photo
  3. Upload Photo
20. Label
  1. Please read Guildford Borough Council's Privacy Statement if you wish to proceed.
  2. I confirm I have read Guildford Borough Council's privacy statement*
21. Do not show
  1. Leave Blank