Instruct Unique Form

Please complete the Instruct Unique form below and a member of the team will be in touch.

Name (required)

Company Name (required)

Email Address (required)

Phone Number (required)

Insured/Assured (required)

UMR/Policy Number (required)

Loss Details

DOL

UCR

Upload invoices, market information & slips (required) We allow the following file types to be uploaded via the Instruct Unique form, pdf, jpg, jpeg, bmp, png, tif. If you wish to email a different file type, please email us directly at info@uniqueinsure.co.uk.

Additional comments

Can we contact the broker for Information?

Yes

You can learn more about how we handle your personal data and your rights by reviewing our privacy policy.

Registered in England: 4016271

Website Designed by Gigatree

Instruct Unique Form

Instruct Unique Form

Thank you for your enquiry, a member of our team will be in touch shortly.

Unique Insurance Solutions

Services

Contact Us