Please read the following statement in full and confirm you are happy to proceed.
Important If you are unable to confirm this statement you will be unable to continue with this form.
In order for us to process your incident, it's important that you provide full, honest and accurate information.
The details you provide will be recorded and may be shared with other organisations and checked against databases such as the Claims Underwriting Exchange: this is to help prevent fraud.
We may share your information with carefully chosen suppliers to assist with any claim.
Please confirm you are happy to proceed.