MOTOR THEFT CLAIM FORM
The information required in this form is sought in the bona fide belief that litigation may ensue, and for the purpose of
furnishing to the solicitors of the company information to enable them to advice us on behalf of the insured in anticipation of litigation.
Please answer all questions fully and return forms without delay.
IF VEHICLE RECOVERED please complete the following:
IF THE VEHICLE HAS BEEN DAMAGED A DETAILED ESTIMATE OF REPAIRS SHOULD BE SUBMITTED AS SOON AS POSSIBLE BUT
THE REPAIRS SHOULD NOT BE EFFECTED WITHOUT THE APPROVAL OF THE COMPANY
I/WE hereby declare that the whole of the statements made by me/us in this form of Claims are in every respect true,
and I/We have made any false or untrue statement or statements, or if there be any suppression or concealment of
any material fact, my/our right to recover under the policy shall be absolutely forfeited.