Claim Form

Claim Form

Detail Of Claimant(s).

Title *
First
Last
Status: (Delete those inapplicabe) *
Police investigation *
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This form is to be sent to:

Jeffrey Elkinson
Motor Insurers Fund
Clarendon House
2 Church Street
Hamilton HM 11,
Bermuda

Jeffrey Elkinson
P.O Box HM 666
Hamilton
HM CX
Bermuda

 

If you wish to send a hard copy of this form, it must be by hand, by courier or by registered post. If by hand, you must retain the receipt.
If you intend to issue court proceedings against a known driver, you must notify the Fund at least seven(7) days before you do so.