"We would be pleased to accept new instructions online. Please complete the undernoted sections and then press 'submit'. These instructions will be sent to and will receive our immediate attention."

Name and Address of instructing Principal
Name and Address of Client/Insured
Name and Address of Third Party (if appropriate)
Claim Reference Number
Policy Number
Contact Name and Telephone Number
Brief Details of Loss
Policy Cover
Excess
Warranties/Endorsements
Any special instructions: