Recreational Claims

1 About You

2. Incident Details

3. Claim Details

4. Final Details

Your details

Policy Number You can find your policy number on your policy schedule/certificate Contact name *

Address details *

Contact details *

Continue to step 2 of 4

1. About You

2 Incident Details

3. Policy Extras

4. Final Details

Date/Time/Location

When did the incident occur? *

Time of Incident *

Who was the Operator at the time of the Incident? *

Address/Location of the Incident *

What were the weather conditions at the time? *

Detailed description of the Incident *

Back to About You Continue to step 3 of 4

1. About You

2. Incident Details

3 Loss & Damge Details

4. Final Details

Associated equipment

In this section we need details about the loss/damage or injury that has occurred.

Details of loss or damage to Drone(s) owned by you *

Please provide details of any loss or damage to your Associated Equipment (owned by you) *

Please provide details of any loss or damage to any Hired In Equipment (not owned by you) *

Please provide details of any third party property damage or injury *

Please provide details of any witnesses to the incident *

Back to Incident Details Continue to final step

1. About You

2. Incident Details

3. Claim details

4 Final Details

Documents

We will need to see a copy of:

Proof of purchase/ownership
Photos or videos of the incident
Flight data (where available)

If you have any other documents/photos/videos that you think will help to substantiate your claim, please send them to us. If you have large files to send to us, please let us know after submitting them.

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Declaration

Please confirm the following:

You understand the contents of this claim form and you declare that the information given is, to the best of your knowledge and belief, correct and complete. You understand that your information may also be disclosed to regulatory bodies for the purposes of monitoring and/or enforcing our compliance with any regulatory rules/codes *

Yes, I confirm

Name of person submitting this claim form *

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