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Making a Claim
Claims
Form
First name
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Last name
*
Email
*
Phone
*
Vehicle Registration
*
Vehicle Make & Model
*
Current Exact Mileage
*
Policy Cover
*
Basic Cover
Diamond Cover
No Warranty
Policy Term
*
1 Month/500 miles
6 Months/6,000 miles
12 Months/12,000 miles
Suspected or Diagnosed Fault?
*
Suspected Fault
Diagnosed Fault
Diagnostic Report Upload
Upload File
Fault Description
*
Submit
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