Submit your claim

Tell us what happened.

What type of claim

TheftBicycle damageLiability

Policy Number

Name*

Surname*

Preferred contact number*

Email*

Bike make and model*

Date of Incident *

Time of Incident*

Theft

Where did the theft occur?*

Did you lock your bicycle?*

YesNo

Where did you lock your bike?*

How did you lock your bike?*

Did you report it to the police?*

YesNo

Police report number*

Do you have another insurance policy such as Home and Contents for example?

YesNo

I hereby certify that the information given in the form is truthful, accurate and complete. No information likely to affect this claim has been withheld. I understand that this claim may be refused if information is untrue, inaccurate and concealed.

I authorise Sundays Insurance to give to, or obtain from other insurers or any insurance reference bureau, any information relevant to this claim or any other claim made by me on any insurance policy held by me.

Policy Number

Name*

Surname*

Preferred contact number*

Email*

Bike make and model*

Date of Incident *

Time of Incident*

Bicycle damage

Where did the incident occur?*

Describe what happened*

Describe the damage to your bike*

Were there any other parties involved in the accident?*

YesNo

Third party name and number for recovery purposes

Witness

Were you injured in the accident?*

YesNo

Did you report it to the police?*

YesNo

Police report number*

Where is your bicycle now?*

Do you have other insurance policy like Home and Contents?

YesNo

Policy Number

Name*

Surname*

Preferred contact number*

Email*

Bike make and model*

Date of Incident *

Time of Incident*

Liability

Where did the incident occur?*

Describe what happened*

Describe the damage or injuries*

Were there any other parties involved in the accident?*

YesNo

Third party name and number for recovery purposes

Witness name and number

Did you report it to the police?*

YesNo

Police report number*

Do you have other insurance policy like Home and Contents?

YesNo