NFRN Mutual Limited - a better alternative to conventional insurance companies

Liability claim form -

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cover

Member details

Full name*
Address*
Postcode
Phone*
Email
NFRN Member No
Fields marked * are required.

Claim details

Claim type
Summary of events
Location of claim
Date of loss
Details of claimant (if available)
Members response (if relevant)

Declaration

I, ... confirm that the information provided above is true and complete and understand that any deliberate misrepresentation, misdescription or non-disclosure is a fraudulent act and may prejudice my claim in accordance with the conditions contained in the Cover wording.

Please post to NFRN Mutual any letters from a Third Party solicitor.

Please note that if we appoint a firm of solicitors to defend you, they are likely to request further information.

If the claimant's solicitor or the claimant tries to discuss the matter with you, please inform them that you have informed us and that they should speak to us directly.

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