Property Claims Reporting Services

If you need to make a claim fill in the form below, email us here or contact us by telephone on +353 (0) 49 4331038

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	Section 1 - Insured
Title
Full Name*
Number & Street
Area/Town
City/County
Postcode
Telephone Number*
Mobile Phone
Fax Number
Email Address*
Berns Brett Client No
Policy No
Your Insurance Company
	Section 2 - Accident
Business/Occupation
Date
Time
Address / location of loss
When was the accident first notified
By whom was the accident first notified
Names and addresses of witnesses
State fully the circumstances that led to loss or damage
Type of Property (e.g. Shop, House, Hotel, Warehouse etc
Have you held the individuals responsible for this loss liable, e.g. Carriers
Are you the owner of the premises
If not, are you responsible for repairs, and if so, state why
Give details if you previously sustained loss or damage of this nature at these premises or elsewhere
Is the property for which you are claiming insured under any other policy ? If so give details of Insurer and Policy number

BBi Ireland