And quote your relevant policy number:
ACC Motor Fleet
Policy Number: 43 273 8401 VFT
Independent Churches and Schools Motor Fleet
Policy Number: 43 223 8546 VFT
Please download this form, and either print the document to complete with pen, or save the form to your computer for electronic data entry.
Upon completion, please return the form to our office by fax or email. If posting the form, please retain a copy for your own records.
If you are claiming replacement items, please include documentation to substantiate:
1. Proof of Ownership (such as an original invoice)
2. Replacement cost (such as a written quote)
Please provide a clear description of the claim circumstances, and include all supporting documentation. The more information you supply, the quicker we are generally able to process your claim.
Please download this form, and either print the document to complete with pen, or save the form to your computer for electronic data entry.
Upon completion, please return the form to our office by fax or email. If posting the form, please retain a copy for your own records.
Please provide a clear description of the claim circumstances, and include all supporting documentation. The more information you supply, the quicker we are generally able to process your claim.
Please download this form, and either print the document to complete with pen, or save the form to your computer for electronic data entry.
Upon completion, please return the form to our office by fax or email. If posting the form, please retain a copy for your own records.
Please provide a clear description of the claim circumstances, and include all supporting documentation. The more information you supply, the quicker we are generally able to process your claim.
Please download this form, and either print the document to complete with pen, or save the form to your computer for electronic data entry.
Upon completion, please return the form to our office by fax or email. If posting the form, please retain a copy for your own records.
Please provide a clear description of the claim circumstances, and include all supporting documentation. The more information you supply, the quicker we are generally able to process your claim.
Please download this form, and either print the document to complete with pen, or save the form to your computer for electronic data entry.
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