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01.11.2017
» Due to technical issues please send any/all email correspondence to : europa.claims@outlook.com
Contact Information
Address:
Europa Consultants Ltd,
Europa House,
Barcroft Street, Bury,
Lancashire. BL9 5BT
E-mail:
Telephone:
01706 661 723
Fax:
01706 661 723
Make a claim
Thursday 28th January
Title:
Mr.
Mrs.
Miss.
Dr.
Name:
Address:
Postcode:
Telephone:
Mobile:
Email:
Bodyshop referrer (if applicable) :
Vehicle Make & model:
Vehicle Reg.:
Driveable:
Yes
No
Third party Name:
Address:
Telephone:
Insurer:
Policy No.:
Vehicle Make & Model:
Vehicle Reg:
Colour:
Were there any witnesses:
Yes
No
Was anybody injured:
Yes
No
Accident circumstances:
Accident date (dd/mm/yyyy):
Fields marked with * are mandatory.