Claim Notification Form

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Name: *
Email Address:
Phone Number: *
Correspondence Address:
Correspondence Post Code:
If your Claim is for a property which is not your correspondance address, please advise the risk address:
Risk Address:
Risk Post Code:
Incident Date: (DD/MM/YY)
Type of Claim: *
Circumstances of Claim: *

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Report a Claim

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Edinburgh Office

76 Coburg Street

Edinburgh EH6 6HJ

Tel: 0131 553 2293

Fax: 0131 554 8324

admin*brucestevenson.co.uk

Glasgow Office

Dundas Business Centre

38-40 New City Road

Glasgow G4 9JT

Tel: 0141 353 3539

Fax: 0141 353 3888

Telephone calls may be recorded for training and monitoring purposes.
Authorised and Regulated by the Financial Services Authority.
Bruce Stevenson Risk Management Ltd is registered in Scotland.
Registered No. 207315.
Registered Office: 76 Coburg Street, Edinburgh, EH6 6HJ.

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