ALA Insurance Claims | In Partnership with Enterprise Insurance

ALA Claims

Finance GAP Claims Form

Enterprise Insurance Services handles claims on behalf of ALA Insurance Brokers for Finance Guaranteed Asset Protection (FGAP) policies.

To register a new claim under your GAP policy, please complete the details below. You may not have the settlement figures yet from your finance company or motor insurer — these can be supplied at a later date.

Fields marked with * are required. Some fields may be pre-completed by Enterprise Insurance on your behalf if you do not have the information to hand.

Policyholder & Contact Information

Policy Number Vehicle Registration Number Policyholder Name Contact Name (if different) Contact Address * Contact Telephone * Contact Email *

Vehicle Information

Vehicle Purchase Price (£) Vehicle Make Vehicle Model Fuel Type Purchased As

Policy & Claim Details

Policy Start Date Policy End Date Purchase Method Vehicle Agreed Value (£) Initial Lease Payment Sum (£) Reason for Total Loss * Claim Incident Date * Mileage at Date of Claim *

Financial Information

Your policy excess benefit is up to £350. You may not have the settlement figures yet — these can be supplied later.

Vehicle Insurance Excess (£) Vehicle Settlement Figure Owed (£) Vehicle Insurance Settlement Figure Due (£)

Payment Details

Please use a bank account with the same name as the policyholder.

Account Number * Sort Code * Name of Account *

Declaration

I declare that the information provided in this claim form is true and accurate to the best of my knowledge.

Full Name (printed) * Date *

You can also send your completed claim form and supporting documentation to:

ALA Claims
Enterprise Insurance Services
Exchange Street Buildings, 35-37 Exchange Street
Norwich, NR2 1DP
Email: claims@alaclaims.co.uk
Telephone: 01603 559343