Ask for help to complete your claim

This form expires after 20 minutes of inactivity.

Register or sign in to My account to save your progress while completing this form.

To complete this form you will need:

  • your name 
  • your email 
  • your phone number
  • your address, if you request a home visit

Use this form to get help with to complete your claim.

This form should take no longer than 10 minutes to complete.

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