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)

What best describes your theft claim? (Please select all that apply)

Tell us what occurred before, during, and after the theft.
If any personal belongings were stolen, please list them here.

Was the vehicle locked at the time?
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 (optional)

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.

Consent to Early Contact

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

Do you consent to Aviva contacting you before 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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