How To Make A ClaimPlease complete this form to start your Frank Pickles Caravan Insurance claim. We know this claim is important to you so please provide as much information as possible so that we can process your claim as quickly as possible. Please complete the claim form fully, including attaching any documents or images that may be requested. Failure to provide all information at this time may mean that we are unable to process your claim. What Happens Next? Once we have received your claim, we will notify you if we require any further information and we will keep you up-to-date on how your claim is progressing. Please be aware that we may require proof of address and proof of identity to be certified as per our underwriting requirement if requested. This may come at a charge. Please be aware that we may need to appoint an assesor after review of the initial claims form, images and estimates. Policy Holder DetailsFull Name of Insured * REQUIRED FirstYour First and Last Name as registered to the Policy Last Address * REQUIRED Street AddressThe address to which your Policy or Warranty is registered Address Line 2 City Postcode Telephone Number * REQUIREDTelephone Number and Area CodeMobile NumberTelephone Number and Area CodeEmail Address * REQUIREDA current e mail address by which we can contact you Policy NumberThe Unique Reference Number shown on your Policy ScheduleStart Date of Policy - must be mm/dd/yyyy formatThe date as listed on your Policy Schedule Date Format: MM slash DD slash YYYY Caravan DetailsCaravan MakeThe vehicle Make e.g. BaileyCaravan ModelThe vehicle Model e.g. PhoenixYear of ManufactureThe year as coded into your caravans VIN numberDate of Purchase - must be mm/dd/yyyy formatThe date you purchased your caravan Date Format: MM slash DD slash YYYY Serial NumberThe CRIS Number as listed on the identification plateMarket value of caravan/ equipment * REQUIREDThe value listed on your Policy ScheduleValue of caravan contents/ luggage * REQUIREDThe value of all items that have been damaged or lostIs the caravan subject to hire purchase?YesNoIf YES, please provide details:Is the caravan on a fixed site?YesNoIf YES, please provide details:For what purpose was the caravan being used for at the time of the damage / loss? * REQUIREDPlease state e.g. stored, holiday purposesCircumstances of the ClaimDate of incident - must be mm/dd/yyyy format * REQUIREDThe date the incident occurred Date Format: MM slash DD slash YYYY Time of incident * REQUIREDThe time the incident occurred : HH MM AM/PM AM PM Claim Type * REQUIREDWhat has caused the damage / loss to your caravan?Accidental DamageTheftFireOther CausesPlease give details of how the accident occured. * REQUIREDDescribe the events that took placeProvide photos if available Drop files here or Accepted file types: jpg, gif, png. Maximum file size - 8 mega bytes. Was the caravan being towed by a motor vehicle?YesNoIf 'YES', please provide name/address of driver of vehicle and the registration number.Was the caravan loaned / hired to the driver of the vehicle?YesNoWhere can the caravan be inspected?Names / Addresses of witnesses (if any): * REQUIREDPlease provide detailsOther vehicles involved * REQUIREDPlease provide detailsName/address of ownerName/address of driver (if different)Vehicle RegistrationInsurance Company & Policy Number File Upload Drop files here or Accepted file types: jpg, gif, png, pdf, doc, docx. Please provide photos of damage. Please obtain and provide an estimate for the repair of the caravan Please provide a copy of the invoice and cris document if available. Damaged property should be protected from further deterioration but not disposed of without prior reference to the Claims Administrator.Maximum file size - 8 mega bytes. Where was the caravan when the theft was committed? * REQUIREDPlease provide details eg holiday park, storage or drivewayWhat security did you have in place to prevent the theft? * REQUIREDPlease provide details e.g. hitch locks / wheel clampsPolice station(s) at which the theft was reported: * REQUIREDPlease provide constabulary detailsAddressDate of ReportPolice Crime Reference No Name / Address of person(s) in possession of or staying in caravan at time of theft * REQUIREDPlease provide detailsPlease provide a copy of the invoice and cris document if available: Drop files here or Accepted file types: jpg, gif, png, pdf, doc, docx. Maximum file size - 8 mega bytes. Please upload pictures of damaged locks or items left at the scene: Drop files here or Accepted file types: jpg, gif, png, pdf. Maximum file size - 8 mega bytes. Where was the caravan when the fire occured? * REQUIREDPlease provide details eg holiday park, storage or drivewayCause of fire (if known) * REQUIREDPlease provide details eg Arson, Criminal Damage or Electrical FaultFire Brigade in attendance * REQUIREDPlease provide details of brigade in attendancePlease give details of cause of loss/damage * REQUIREDList below items of personal effects/ equipment loss/ damagedItemDetails of cause of lossExtent of damageOwner of itemFrom whom purchasedDate of purchaseCost/ Value (£)Amount Claimed (£) DeclarationI / We declare that no material information has been withheld and that all statements on this form are true to the best of my / our knowledge and belief. Further the articles and property belong to the persons named and no other person has any interest. I / we understand that you may seek information from other insurers to check the answers I / we have provided, and I/we authorise the giving of such information for such purposes. Full details of the claim must be submitted as soon as possible after the event and always within 14 days of the incident occuring. You must also provide us with all information and evidence, including written estimates and proof of ownership and value that we may request.Confirmation * REQUIRED I hereby certify that all the information given in this form is truthful, accurate and complete. Dated - must be dd/mm/yyyy format Date Format: DD slash MM slash YYYY This iframe contains the logic required to handle Ajax powered Gravity Forms.