Accidental Damage Claim

Your Details/Personal Information

Policy Number (if known)

Your policy number will be 8 digits usually starting with a 1. You can find it from correspondence from us such as your Schedule of Insurance. It is also the last 8 digits of the reference number for premium payments on your Bank Statement.

Title

Name*

First Last

Address*

Street Address Address Line 2 City County ZIP / Postal Code Country

Email*

Phone Number*

Daytime contact phone number (we won't normally call before 9:00am or after 5:00pm)

Claim Details - What are you claiming for?

Please enter details about your mobile phone below

Phone Make*

Please select the make of your phone

Other Make*

Please enter the manufacturer's name

iPhone - Additional Claim Instructions

'Find my iPhone' - if you have this activated for this handset you must switch it off before a repair or replacement can be completed by Apple. Failure to do this will delay your claim

Details of how to do that are found here...

Additional Claim Instructions

Google password/passcode - if you have this activated for this handset you must provide the password to us before a repair or replacement can be completed. Failure to do this will delay your claim

Phone details

Model*

Handset Colour*

IMEI Number*

15 or 16 Digits. This will be shown on your original receipts and box.

Mobile Phone number*

Date of purchase*

Place of purchase*

If you have exchanged or upgraded your handset since taking out this insurance, please email a copy receipt confirming the latest IMEI issued, for consideration to admin@wcsinsurance.co.uk quoting your policy number and full name and address.

About your claim

Date of Incident*

Time of incident*

:

Place of Incident*

Please tell us where the accidental damage occurrred.

Where was the phone at the time of the incident*

Date the equipment stopped working

Time the equipment stopped working:

:

Which mobile network do you use:

About the incident

Please provide a full description of the incident.

To be completed by the user of the phone at the time of the incident.

Failure to give complete information may prejudice or delay your claim

Description of the Incident*

Tell us about any other damage or issues:

Known Faults

Please check all that apply.

Hidden

Please provide photo's of the front and back of the device if possible.

Drop files here or

Accepted file types: jpg, png, pdf, jpeg, Max. file size: 256 MB.

Upload an images of your device. .jpg preferred, .png and .pdf permitted

Please provide photo's of the front of the device if possible.

Accepted file types: jpg, png, pdf, jpeg, , Max. file size: 256 MB.

Upload an images of your device. .jpg preferred, .png and .pdf permitted

Please provide photo's of the back of the device if possible.

Accepted file types: jpg, png, pdf, jpeg, , Max. file size: 256 MB.

Upload an images of your device. .jpg preferred, .png and .pdf permitted

Handset Pin

If you use a PIN or password to lock/access your handset you must advise this to enable our engineers to repair and quality check your mobile phone. If you have a pattern code rather than a PIN code then please draw this on a seperate piece of paper and scan and upload it with this form.

Leave blank if you do not have a Handset PIN.

Google Password/Passcode

The user of the phone is:*

Policyholder
Spouse / Partner
Son or Daughter
Other relative
Friend
Work colleague
Someone else

Please select the most approriate description of the user of the phone. If the policyholder is not the user, then the next section must also be completed.

About the User

You must complete the user information when the user of the handset was/is not the policyholder.

Name

First Last

Age of user (if under 18)

Please enter a number from 0 to 17.

Please tell us how old the user of the phone equipment is in whole years, if they are under 18 - You should leave this field blank if they are over 18.

Address

Street Address Address Line 2 City County ZIP / Postal Code Country

File

Accepted file types: jpg, pdf, doc, docx, xls, xlsx, tiff, png, bmp, Max. file size: 256 MB.

Please attach any supporting documentation in support of your claim.

File

Accepted file types: jpg, pdf, doc, docx, xls, xlsx, tiff, png, bmp, Max. file size: 256 MB.

Please attach any additional supporting documentation in support of your claim.

File

Accepted file types: jpg, pdf, doc, docx, xls, xlsx, tiff, png, bmp, Max. file size: 256 MB.

Please attach any additional supporting documentation in support of your claim.

Other Insurance

Do you have any other insurance in place covering this mobile phone?*

Yes
No

Name of Insurer

Policy Number / Identifier

Insurer address

Declaration and consent (please read)

Disrespectful and Abusive emails to our staff will not be tolerated and may be reported. We will always treat you respectfully please treat our staff in the same way. We have a zero tolerance policy to any breaches of this.

I agree that the above details are true and correct to the best of my knowledge and belief, and that if someone has filled in this form on my behalf that I have checked and agreed to the answers.
I understand that the information may be checked and passed to other insurance companies or organisations to prevent fraud and I consent to such checks being made and the sharing of my information.
I declare that I have not withheld any material information and understand that if a false, exaggerated or fraudulent claim is made that no benefit will be payable to me and the insurance will end with no refund of premium.
I give authority for Warranty & Creditor Services to repair or dispose of the insured equipment providing an assessment has taken place by the authorised repairers.
I also accept and agree to the removal and erasure of any data stored within the Insured Equipment by Warranty and Creditor Serivces or their authorised repairers to protect my interests and liabilities.

Warranty & Creditor Services act on behalf of the Insurers in the processing and settling of claims.

About the claim

Please allow at least 12 working days for repairs to be dealt with. Delays may occur if parts are required to be ordered or the handset sent to Manufacturers for specialist repair work to be carried out.

Email us on claims@wcsinsurance.co.uk and we will advise details of the action you need to take next to progress your claim.

Confirmation*

I have read and agree with the Declaration and Consent

Thank you for completing the claim form.

Like most insurance policies, the insurance you hold requires you to pay part of the costs of the claim. This is called an "excess". Your claim cannot be finalised until that payment has been made. We'll provide more information when you submit this form.

Please note:

‘sim cards’ must be removed and accessories will not be returned, should you forward them with the handset.

You will receive confirmation and a copy of this form by email shortly after submitting it. If you do not receive it after 24 hours please call us on 01256 471387.

WE WILL USE YOUR EMAIL ADDRESS TO CONTACT YOU. CORRESPONDENCE EMAILS FROM WARRANTY & CREDITOR SERVICES MAY BE DIRECTED TO YOUR “JUNK” MAIL, PLEASE CHECK YOUR “JUNK” MAIL BEFORE CALLING US.

Comments

This field is for validation purposes and should be left unchanged.