Report application fraud |

* What kind of insurance is involved?

How many people are involved?

I don't know

3 or more

* Is this suspicious activity linked to a business or professional organisation?

Yes

I don't know

Tell us more about the organisations involved

Provide any details you can, even if it's incomplete. If you don't have information for a specific field, leave it blank.

Company Name

Address 1

Address 2

Town/City

Postcode

Telephone

Website

Bank name

Account number

Sort code

Other details

Company Name

Address 1

Address 2

Town/City

Postcode

Telephone

Website

Bank name

Account number

Sort code

Other details

Company Name

Address 1

Address 2

Town/City

Postcode

Telephone

Website

Bank name

Account number

Sort code

Other details

Company Name

Address 1

Address 2

Town/City

Postcode

Telephone

Website

Bank name

Account number

Sort code

Other details

Company Name

Address 1

Address 2

Town/City

Postcode

Telephone

Website

Bank name

Account number

Sort code

Other details

Company Name

Address 1

Address 2

Town/City

Postcode

Telephone

Website

Bank name

Account number

Sort code

Other details

Company Name

Address 1

Address 2

Town/City

Postcode

Telephone

Website

Bank name

Account number

Sort code

Other details

Company Name

Address 1

Address 2

Town/City

Postcode

Telephone

Website

Bank name

Account number

Sort code

Other details

Company Name

Address 1

Address 2

Town/City

Postcode

Telephone

Website

Bank name

Account number

Sort code

Other details

Company Name

Address 1

Address 2

Town/City

Postcode

Telephone

Website

Bank name

Account number

Sort code

Other details

* Are there any vehicles involved?

Yes

I don't know

Tell us more about the vehicle/s involved

Provide any details you can, even if it's incomplete. If you don't have information for a specific field, leave it blank.

Make / Model

Colour

Registration

Make / Model

Colour

Registration

Make / Model

Colour

Registration

Make / Model

Colour

Registration

Make / Model

Colour

Registration

Make / Model

Colour

Registration

Make / Model

Colour

Registration

Make / Model

Colour

Registration

Make / Model

Colour

Registration

Make / Model

Colour

Registration

* How many times have they knowingly provided false or misleading information to an insurer?

1 or 2 times

3 or more times

I don't know

Tell us more about the people involved

Provide any details you can, even if it's incomplete. If you don't have information for a specific field, leave it blank.

Forename

Middle name

Surname

Address line 1

Address line 2

Town/City

Postcode

Telephone

Approx age

Approx date of birth

Bank name

Account number

Sort code

Forename

Middle name

Surname

Address line 1

Address line 2

Town/City

Postcode

Telephone

Approx age

Approx date of birth

Bank name

Account number

Sort code

Forename

Middle name

Surname

Address line 1

Address line 2

Town/City

Postcode

Telephone

Approx age

Approx date of birth

Bank name

Account number

Sort code

Forename

Middle name

Surname

Address line 1

Address line 2

Town/City

Postcode

Telephone

Approx age

Approx date of birth

Bank name

Account number

Sort code

Forename

Middle name

Surname

Address line 1

Address line 2

Town/City

Postcode

Telephone

Approx age

Approx date of birth

Bank name

Account number

Sort code

Forename

Middle name

Surname

Address line 1

Address line 2

Town/City

Postcode

Telephone

Approx age

Approx date of birth

Bank name

Account number

Sort code

Forename

Middle name

Surname

Address line 1

Address line 2

Town/City

Postcode

Telephone

Approx age

Approx date of birth

Bank name

Account number

Sort code

Forename

Middle name

Surname

Address line 1

Address line 2

Town/City

Postcode

Telephone

Approx age

Approx date of birth

Bank name

Account number

Sort code

Forename

Middle name

Surname

Address line 1

Address line 2

Town/City

Postcode

Telephone

Approx age

Approx date of birth

Bank name

Account number

Sort code

Forename

Middle name

Surname

Address line 1

Address line 2

Town/City

Postcode

Telephone

Approx age

Approx date of birth

Bank name

Account number

Sort code

What do you know about the suspicious activity?

Please describe the activity in as much detail as possible. Even the smallest detail could help us identify the people involved.

Who is involved?
What are they doing?
Where did the activity take place?
Details of relevant conversations, events or anything else you can remember that might help our investigation.

Can we contact you if we need further information?

Yes

Your contact details

Your details remain strictly confidential and are never shared without your express permission. We will only contact you if we need clarification of information.

Your name

Telephone

How did you hear about us?

Online Search (Google/Bing/Other)

Media article

IFB news article

Facebook

Youtube

Twitter

CheatLine

Report application fraud

Tell us more about the organisations involved

Tell us more about the vehicle/s involved

Tell us more about the people involved

Your contact details

* What kind of insurance is involved?

How many people are involved?

* Is this suspicious activity linked to a business or professional organisation?

* Are there any vehicles involved?

* How many times have they knowingly provided false or misleading information to an insurer?

What do you know about the suspicious activity?

Can we contact you if we need further information?

How did you hear about us?

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