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Claim Initial Notification

If you wish to provide us with an initial notification of an incident that may give rise to a claim please complete the form below and email it direct to us.  If you choose this medium rather than contacting us on the Emergency Claims Helpline please note that we can only acknowledge receipt when the office next reopens for work.

Please complete the form with any information at hand and send it to us:

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I hereby agree that any personal data disclosed by me may be saved by Pantaenius UK Ltd solely for underwriting purposes.
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