Cumbria Insurance Brokers Limited
Cumbria Insurance Brokers Limited

Insurance Claim Notification Form

If you wish to make a claim against one of your insurance policies arranged through CIB Ltd please use the form below.

On receipt of your submitted claim form a member of our staff will contact you within 1 working day as to what further action may be required, if any.

 

 

PERSONAL INFORMATION
Title or Company Name
* First Name
* Surname
* Postcode
* E-mail Address
* Phone Number
POLICY INFORMATION
* Policy Number
Type of Policy
* Date of Incident (dd/mm/yyyy)
Additional Information
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©2006 Cumbria Insurance Brokers Ltd Cumbria Insurance Brokers Ltd is Authorised and regulated by the Financial Services Authority.