Instruct Banwells

You can use this section of our website to instruct us!

You can either download our standard AD instruction form below and submit this via e-mail, fax or post.

Download – Standard Instruction Form

Or
Alternatively, fill in the form below and your instructions will be submitted directly to us.

Instructors Details

Instructor (required)

Department (required)

Address (required)

Reference Number (required)

Telephone Number (required)

Fax Number

Email (required)

Claim Type

 Accident Theft Fire Mechanical Failure Other

Vehicle Details

 Insured Defendant Third Party Claimant

Vehicle Make

Vehicle Model

Vehicle Registration

Vehicle Owner

Owner Telephone Number

Vehicle Location

Location Telephone Number

Repairer Details

Repairer Telephone Number

Additional Instructions

Authorise Repairs
 Yes No

Call Instructor to Discuss?
 Yes

VAT Registered?
 Yes No

Policy Excess

Special Instructions AND Incident Circumstances

Upload Estimate or Other Documents

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