DMH Stallard Business Interruption Insurance claim enquiry form
 
Thank you for coming onto our enquiry form. 
 
To enable us to assess whether you may have a potential claim under your Business Interruption Insurance (BII) cover, please answer the following questions. It should only take you 5 minutes to complete this survey. We will also require a copy of your insurance policy wording, so please have that to hand before starting the survey. If you do not have an electronic or scanned copy of your insurance policy wording, please arrange for this to be sent to the following address by post: Mr Simon Elcock, DMH Stallard LLP, Griffin House, 135 High Street, Crawley, West Sussex, RH10 1DQ.

We will be in touch with you within a few days to provide you with a fixed fee quote for advising you on your position and to move matters forward for you.  

We look forward to speaking with you in due course and helping you at this difficult time.
 

Your details *

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If there is a second policyholder, please add their details here

 

If there are more than two policyholders, please add the additional details here

 

1. Please confirm if you think you have business interruption insurance
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2. What is the name of the insurance company? *

 

3. What level of loss do you think you have suffered or are likely to suffer? For example, any income have you lost to date and are likely to lose going forward. *

 

4. Have you (or has anyone on your behalf) contacted your insurer to register a claim? *

 

5. If yes, have you received a response from the insurer?

 

Please upload your response here

Choose File
 

6. Please confirm you are happy for DMH Stallard to contact you about this matter *

 

7. Please upload a scanned copy of your Business Interruption Insurance policy wording here

Choose File
 

8. Is there anything else we can help you with?

 

9. We would like to keep you updated by email with other information from DMH Stallard which we think may be relevant to you. We will not bombard you with lots of information and you can opt out at any point. We only use your personal information in accordance with our privacy notice. Please confirm you are happy to receive information from us regarding our services in the future. *