Online Business Interruption Claim Form

How To Fill In This Claim Form

Please fill in this form to tell the Mutual about a claim. The form needs to be completed and signed by the Member named in the Schedule or, if the Member is a company or a partnership, by one of the directors or partners. Please fill in all relevant sections as fully as possible and attach additional pages if necessary together with copies of all documents, quotes, tax invoices and receipts to support your claim. Please contact us if you have any questions about your claim or filling in this form. Using Personal Information We may collect, use and share personal information from you, other people, businesses and organisations as part of our claims process. We will only keep personal information for as long as we need to use it. You can see how we use personal information, and the legal rights of people whose personal information we hold, in the privacy notice on our website www.theretailmutual.com/privacy-notice. If you would like us to send you a copy of our privacy notice please ask us.

Printing the form

If you wish to fill in this form by hand, just click the “Print Form” button below to print out this document. All completed forms can either be scanned and emailed to [email protected] or they can be posted to: The Retail Mutual, Claims, First Floor, Douglas House, Quarry Hill Road, Tonbridge, Kent, TN9 2RH

Otherwise please complete the form below and click submit.