Click here to download the claim form (editable PDF format). If your computer does not yet have Adobe Reader installed, you can download it free from here.
To complete this claim form:
- Fill in all of the fields in the claim form
- Right-click within the document and select “Save as…”
Click CTRL+S to bring up the Save dialog box
- Save the document on your PC
- Email the completed claim form to firstname.lastname@example.org
Alternatively you can post the claim form to:
InsureandGo Ireland Claims Department
Ireland Assist House
22-26 Prospect Hill
We will send an acknowledgment letter to you upon receipt of your completed claims form which will advise you of your unique claim reference number. Please make sure you quote this reference number in any future contact you have with us.
If you would prefer, or if you have any questions, you can call our claims team on 091 545907 (if you’re abroad call using +353 91 545907) or you can also email email@example.com.