Car Claims Form - Theft

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About your Vehicle Claim (Theft)

Please enter the date in the format dd/mm/yyyy

Please insert as 24 hour (e.g 13:52)

Is this claim related to a stolen vehicle or to personal belongings taken from a vehicle?
Was the vehicle locked at the time?
Has the vehicle or personal belongings been found?
Do you know who took the vehicle or personal belongings?

Additional Details (to help us process the claim faster)

Was the theft reported to the Gardai?

Please ensure that the theft is reported to the Gardai

Please ensure that the theft is reported to the Gardai

Do you give permission for our investigator to contact you?
Do you give permission for your vehicle to be inspected?
Is there any CCTV in the surrounding area?

Vehicle Details

Is there finance on the vehicle?

Aviva Customer Details

Policy Number

Are you the policy holder?

Optional – only complete if you're not the Policyholder

If you're notifying this claim on behalf of an Aviva customer, please provide your details below:

Please specify your relationship to the policyholder.

If you submit this form outside our normal working hours, we may have team members available from 8am on the next working day.

Please confirm below if you consent to Aviva contacting you between 8am and 9am if staff are available

Claim Documentation

If you wish to send an attachment (photos, estimates, or claim documentation) with your message, please submit the form, then email the attachment directly to us at motorclaimsireland@aviva.com

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