ClaimForm Homepage / ClaimForm Claim Form Please fill up the claim form and send it back to us so we can process it. Order Number *Description of the item *Nature of loss or damage *Year of Purchase *Original Purchase price *Value at time of loss *Amount claimed *Was the loss or damage noted at the time of delivery ?YesNoUpload file *Choose FileNo file chosenDelete uploaded fileItems notified to us more than seven (7) days after delivery will not be considered. Your claim must be based upon the value of each item at the time of loss or damage, allowance being made for age, wear and tear. You must only claim for the cost of making the item good: you cannot claim a brand-new item. You should obtain traders estimates for repair, where applicable, and send them with the claim form to us within seven days of your claim.I’ve, being the person (s) named overleaf, declare that the information provided in this claim is true and properly completed to the best of my/our knowledge and belief. I/We understand that if any part of this claim is in any respect fraudulent, all benefits shall be forfeited and actions may be taken against me/us. We may share your details with other parties to assist with handling your claim. If you are not in agreement with us passing your details, please inform us submitting this claim form.NotesSignature *Please sign hereYour browser does not support e-Signature field.Send Message
