Make a motor claim

Please fill in the following fields as accurately as possible to log your claim

1 YOUR DETAILS

Please enter your name
Please enter your email address
Please enter your phone number
Please enter the name of your insurer
Please enter your policy number
Please enter driver's' name
Please enter driver's date of birth
Please enter your registration number
Please enter your registration number
Please select yes or no
Please enter a brief description of the convictions

2 ACCIDENT DETAILS

Please enter the date of the accident
Please enter the time of the accident
Please enter the location of the accident
Please enter the third party name
Please enter the third party registration plate
Please enter the third party telephone number
Please enter the number of people in third party vehicle (including passengers)

3 TAKE PHOTOGRAPHS

Please enter a brief description
Please select the fault

4 ADD DASHCAM VIDEOS

100mb limit on file size, approximately twenty seconds of footage on smartphone.


5 WITNESSES

Please enter the name of the first witness
Please enter the name of the first witness
Please enter the name of the first witness
Please enter the name of the first witness

6 CHECK INFORMATION THEN SEND

NEED TO TALK TO SOMEONE NOW?

Fill in our form to log your claim as quickly as possible. Remember, safety comes first.

We will only use the information which you provide in this form for the purpose of handling your insurance claim and for dealing with the relevant third parties. If you have any concerns about how we use your personal information please refer to our Privacy Notice which is available on our website or get in touch with us.

Claims

Talk to Daniel Culley on 020 8290 7778 or email claims@anthonyjones.com