Transcription of claim form - compucover
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Suite 2, Bloxam Court, Corporation Street, Rugby, Warwickshire CV21 2 DUTelephone: 01788 563111 E-mail: To ensure your claim is dealt with as quickly as possible, please complete this form in full, sign where indicated and return it claim will be delayed if you do not complete ALL relevant claims must be referred to the Claims Administrators before you take any action. Failure to do so will invalidate your a claim that is not capable of repair following theft the Claims Administrators will instruct our authorised supplier to arrange : claim form1 - YOUR DETAILSF irstname:Surname:Organisation(if applicable):Address:Postcode:Is the claim for:-Complete sections 3,5,6,7 and 82 - claim TYPEC omplete sections 4,5,6,7 and 8 Theft/LossDamageDate and time of theft/loss:3 - THEFT/LOSS CLAIMSDate and time the equipment was last seen:Page 1 of 5 Date and time theft/loss discovered:Who was in charge of the equipment when the theft/loss claim form will need to be completed in full by the named Policyholder.
Suite 2, Bloxam Court, Corporation Street, Rugby, Warwickshire CV21 2DU Telephone: 01788 563111 E-mail: claims@compucover.co.uk 1. To ensure your claim is dealt with as quickly as possible, please complete this form in …
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