Skip to content

Ansvar Insuring a better way of life

Please enter a search term to begin your search.

Household Claim Form

Policyholders

Access online claim forms, proposal forms, key contacts & more.

Policyholders log in

Please complete the box below using the first three letters of your policy number (eg ABC12456789XY) found on your policy document.

Online Claims Form

General Information (to be completed for all claims)

* Fields marked with an asterisk are required

* Claim Type
* Is the claimant the sole owner of the property lost, destroyed or damaged?:
If you are not the owner of your premises, are you liable under tenancy agreement for breakages of glass or damage to fixtures and fittings?:
* Have you previously made a claim against any insurer in respect of risks covered by your policy?:
* Were there witnesses present at the time of discovery?:

Glass Breakage

If claiming for glass only call SOLAGLAS on 0800 47 47 47. Please note that no claim form is required. Solaglas will replace your glass and invoice us direct. If an excess applies, Solaglas will collect from you.

Fire

Did the fire brigade attend:
Did the police attend:

Loss, damage or theft (this section must be completed for all theft or loss claims)

Were the premises occupied at the time of loss?:
Do you suspect any person or persons?:

Please read carefully

  1. Until instructions are received from the company or the loss adjuster to the contrary all salvage must be protected by the insured from deterioration and retained for inspection by the company.
  2. Damage to buildings – competitive estimates for necessary repairs should be passed to the Company as soon as possible.
  3. Contents – Whenever appropriate we aim to provide replacements.To assist validation, please provide a full specification of the loss/damaged articles.

Schedule of property lost, damaged or stolen

Following section is to be completed by the insured

* Are there any other insurances in force upon the damaged property (e.g. travel insurance?:

Insurers pass information to the Claims and Underwriting Exchange Register, run by Insurance Database Services Ltd (IDS Ltd). The aim is to help us to check information provided and also to prevent fraudulent claims. When you tell us about such an incident (such as a fire, water damage or theft) which may or may not give rise to a claim, we will pass information relating to it to the register.

Payee details

Value added tax

* Do you have a VAT registration no?:
If yes, do you recover all your input from Customs and Excise?:
%

Instructions

If you wish to notify your claim on-line please provide the required information by filling in this form and submit to us by clicking the "Submit claim form" button below.

We will acknowledge your claim within one working day.

Can we help you?

If you require any help with your claim or if you have any questions please contact us as below:

Call 0845 60 20 999
Monday - Friday 9am - 5pm

Prefer to fill a form out by hand?

If you would prefer to fill out a claim form by hand then please download a PDF version below.

Download claim form

Find your nearest broker

Enter your postcode to find the nearest Ansvar broker to you.

Download a policy brochure

Request a printed Brochure

Our wide range of brochures cover all of our products.

Select your brochure

Download a brochure

Ansvar Insurance

Business division of:
Ecclesiastical Insurance Office plc
Registered Office: Beaufort House,
Brunswick Road, Gloucester GL1 1JZ
Registered No. 24869 England

© Ecclesiastical 2012

National Council for Voluntary Organisations

BIBA Banner

Privacy Policy / Accessibility / Sitemap

Member of Association of British Insurers (ABI) Financial Ombudsman Service (FOS)
Authorised and Regulated by the Financial Services Authority (FSA).
To check these details on FSA’s Register: www.fsa.gov.uk/Pages/register