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Pleasure craft claim form

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Personal details

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email

Vessel details

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Incident details

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Helm details at time of incident (if not the assured)

Did the incident involve a third party:

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Details of the incident

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Details of the damage to the vessel

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Repairs to the vessel

Have you approached a firm of repairers for an estimate/quote:

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Please upload any documents which may help support your breach incident, e.g. loss forms, incident summary, policy documents, etc.

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File 3

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