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Windscreen Claim
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*FullName
*Email
National ID
Gender
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*Phone Number
Address
Date Of Birth
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Name of driver at time of loss
Driver has existing driving offense
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Yes
Driver’s License Number
Make
Model
Cause of damage
Reg Number
Driver had insurance covering this vehicle
No
Yes
Name of insurance company
Repairs done?
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Drivers license copy
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3 Quotations from reputable garage
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3 images to show damage
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