I hereby authorise AllInsure to obtain any report or statement that I have made to the police.
I understand that the information provided in this claim form by me is true and correct. No information likely to affect this
claim has been withheld. I understand that this claim may be refused if information is inaccurate or concealed.
I consent to AllInsure, in assessing or otherwise dealing with this claim, disclosing my personal information to or
collecting my personal information from related entities, other insurers, insurance reference bureaux, investigators, or
other parties providing services to the Insurer.
I authorise AllInsure to obtain any report or statement that I have made to the police.