Claims Making a claim We understand that it can be very stressful if you need to make a claim. Our claims team will be there to help guide you through the process and assist you when you need it most. 1Your details2Incident details3Witnesses and police report Policy numberName of insured personPostcodePreferred contact numberEmailPreferred method of contactEmailPhone Type of incidentI had a crash and damaged my bikeI had a crash involving a 3rd partyI had a crash and got injuredMy bike got stolenOtherBike make and modelSerial number of bikeDate and Time of incident0:001:002:003:004:005:006:007:008:009:0010:0011:0012:0013:0014:0015:0016:0017:0018:0019:0020:0021:0022:0023:0024:00Where did the incident occur?Please describe what happenedWhere is bike now?Were there any other parties involved?YesNoIf yes, how were they involved?Name of person involvedContact Number (if known)Registration numberName of their insurerApplicable claim numberInjuriesWere you injured in the accident?YesNoIf yes, please provide detailsSupporting EvidencePlease upload any appropriate photographs, documents or any other evidence which may be relevant to your claim. For example, any evidence of injuries sustained, damage to your bicycle, damage to any locks or forced entry, witness statements, etc. Briefly describe the evidence attached above Witness nameWitness contact numberPolice ReportPolice stationPolice report numberDate and Time reported0:001:002:003:004:005:006:007:008:009:0010:0011:0012:0013:0014:0015:0016:0017:0018:0019:0020:0021:0022:0023:0024:00Other InsuranceDo you have other insurance like home and Contents?YesNoIf yes, please provide details Please Wait Declaration x I hereby certify that the information given in the form is truthful, accurate and complete. No information likely to affect this claim has been withheld. I understand that this claim may be refused if information is untrue, inaccurate and concealed. I authorise Velosure to give to, or obtain from other insurers or any insurance reference bureau, any information relevant to this claim or any other claim made by me on any insurance policy held by me.