Claim Form

Claim Form

Detail Of Claimant(s).

Title *
First
Last
Status: (Select applicable) *
Police investigation *
How did you hear about the MIF?
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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.

 

Hardcopy form is to be sent to:

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