How to Make a Claim

Claims can be made by completing the form below.

Please note that all information will be treated as confidential and any response will only be made to the address or telephone number indicated in the form.

It you are to be investigated or require advice on the assumption that you may be investigated please complete the form below.

Claims Form
First Name
Surname

Contact Phone No. 
Address Line 1
   Line 2
   Town
   County
   Postcode

Contact EMail
Policy Number
Inception Date
Briefly describe the circumstance that make you think that a claim is possible.

Request a claims form

 

  

Blackmore Borley Ltd is authorised and regulated by the Financial Services Authority ("FSA")

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