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Report A Claim

If you have been involved in an incident and wish to submit an insurance claim on your Sunseeker Shield insurance policy, please select the relevant scenario(s) below, then complete the appropriate fields in as much detail as possible and click “submit”.

If a claim has been received from a third party please ensure you forward all communications to us to deal with on your behalf. To protect your interests it is advisable not to admit liability for the incident or offer to make any form of payment to the third party.

To contact us to discuss this immediately, please telephone +44 (0) 1202 647 463 (available 24 hours).

For information on how we use your personal data please refer to our UK Privacy Notice | EEA Privacy Notice

For details of Legal and Regulatory disclosures please click here.

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YOUR DETAILS

First Name*
Please supply your first name

Surname*
Please supply your surname

Preferred contact number*
Please supply your preferred contact number

Email address*
Please supply your email address

 
YOUR SUNSEEKER

Name of your Sunseeker*
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Model type*
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INCIDENT DETAILS

Date of incident*
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Location of incident*
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Type of incident*

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DAMAGE TO YOUR VESSEL/PROPERTY

Describe fully how the damage was sustained*
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Describe the damage*
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State weather conditions*
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Person in charge*
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Name and contact details of any witnesses
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What was the vessel being used for*

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Anticipated cost of repairs/replacement*
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Where can the vessel be inspected*
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Were any salvage services utilised?*
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Please give full details, including name(s) and address(es) of who provided salvage services*
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DAMAGE TO THIRD PARTY PROPERTY OR VESSEL

Describe fully how the damage was sustained*
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Describe the damage to the third party*
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Name of third party*
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Where can the third partys vessel be inspected?*
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Name and contact details of any witnesses
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INJURY TO A PERSON(S)

Full details of injury*
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Describe fully how the injury was sustained*
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Name and contact details of any witnesses
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In your opinion, what was the cause?*
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MEDICAL EXPENSES

Describe how the injury was sustained*
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Nature of the injury*
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In your opinion, what was the cause of the incident?*
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State the hospital/clinic/doctor that has administered medical assistance*
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State cost of medical expenses incurred*
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PERSONAL ACCIDENT

Describe how the injury was sustained*
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Nature of injury*
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In your opinion, what was the cause of the incident?*
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LOSS OF SKIPPER CHARTER HIRE

What dates and duration was the skipper charter hire booked for?*
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Value of lost skipper charter hire (excluding any deposit retained by you)*
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A COPY OF THE SIGNED BOOKING FORM(S) MADE PRIOR TO THE INCIDENT THAT CAUSED THE LOSS OF THE SKIPPER CHARTER HIRE SHOULD BE SUBMITTED AS SOON AS POSSIBLE.

EMERGENCY ASSISTANCE/BREAKDOWN

Location of incident*
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Person in charge*
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In your opinion, what was the cause?*
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Were any salvage services utilised?*
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Please give full details, including name(s) and address(es) of who provided salvage services*
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THEFT

Date loss discovered*

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Summary of what was stolen*
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Details of any damage to your vessel*
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How was entry made / item removed?*
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If loss involves outboard motors, vessel whilst on trailer, trailers, dinghies, or tenders, what security precautions or devices were used?
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Has the incident been reported to the relevant authority?*

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PLEASE NOTE THAT WHILST THE CLAIM CAN STILL BE SUBMITTED THE THEFT MUST BE REPORTED TO THE RELEVANT AUTHORITY AND CRIME REPORT NUMBER OBTAINED AND PROVIDED TO US.

Please enter the crime report number*
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When and where was the vessel/item last seen?*
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Coleman Marine & Sunseeker Shield is a trading name of Arthur J. Gallagher Insurance Brokers Limited, which is authorised and regulated by the Financial Conduct Authority. Registered Office: Spectrum Building, 7th Floor, 55 Blythswood Street, Glasgow, G2 7AT. Registered in Scotland. Company Number: SC108909

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