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:
        0161 672 4770
     Fax:
        0161 447 8982
Make a claim Thursday 23rd November
  Title:  
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.