Household Claim | RSA Ireland Insurance

Broker/Bank/Intermediary name

Name (of Policyholder) *

Policy Number *

Postal Address of Policyholder

Your Name

Your Email address *

Your Phone number *

Location of incident *

Incident circumstances *

Has the house become uninhabitable due to the incident? *

Description of lost/damaged property *

Estimated cost of repair/replacement

Further details

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Math question (captcha) * 5 + 6 =

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This data once submitted, cannot be directly amended by you at a later point. A Claims handler will be in contact to discuss your claims notification, as per the inputs you have supplied.