Personal Accident & Sickness Claims Notification Form

You will be contacted by a claims handler in due course, who will advise you of the claim reference number and any further documentation that is required in support of your claim.

When you submit this form you will be sent an acknowledgement email. Attached to the email will be a form giving Allianz consent to obtain a medical report from your doctor. Please complete, sign and return to:

Barclays Business Insurance Claims Centre 500 Avebury Boulevard, Milton Keynes MK9 2XX  

Please note that fields marked with asterisk (*) are mandatory.

Policyholder Details
field description
Help tip: Select to choose a prefix. Policy Number must not contain letters.
Insured Person Details
Sickness Claim
Accident Claim
Terms & Conditions