Please enter your information below in as much detail as possible. If you have any problems completing this form, please call 0844 848 5637* from a landline or 0330 1239213 from a mobile.

Please note that if your claim is successful, you’ll need to pay an excess. You’ll find the details of the excess you have to pay on your Certificate of Insurance. This amount may vary depending on when and how often you make a successful claim under your policy.

If you are claiming for damage please do not throw your damaged device away as we will ask you to return this to us if your claim is successful.

* For BT residential customers, calls cost no more than 5p per minute plus 15p call set-up fee (current at February 2014). The cost from non-BT line prices may be different.
Calls to 0330 numbers will cost no more than 01 or 02 numbers from landlines or mobiles and will be included as part of inclusive minutes in your package.

Fields marked * are mandatory

Personal details
This can be found on your policy documentation.
Please enter your date of birth in the format dd/mm/yyyy. You must be aged 18 or over to submit a claim.
We require a contact number to keep you informed about the progress of your claim.
We require your email address to keep you informed about the progress of your claim.
Address details
Claim details
Device details
To find this, refer to your device receipt or contact your provider.
To find this, refer to your device receipt or contact your provider.
To find this, refer to your device receipt, contact your provider or dial *#06# on your mobile phone (for phone only).
Incident details
Please enter the date in the format dd/mm/yyyy.
Please enter the time in the format hh:mm using the 24 hour clock.
Please include the place or premises and street name if possible.
Please provide a detailed description as missing or incomplete information may delay your claim.