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Amend details on your statement of insurance

Complete the form below to amend details on your statement of insurance.

You and your policy

/(e.g. 2457555/2)
(e.g. DD/MM/YYYY)

Amendment details

We may still require the information you have supplied in writing. This will be on the request of your insurance company. If this is needed we will inform you in due course.

e.g. 'Correct date of driving licence is 15/05/76'


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If your policy started or renewed before 01/01/2015 American Express Insurance Services Europe Limited registered in England and Wales under company number 05048826 at 76 Buckingham Palace Road, London SW1W 9AX introduces you to UKAIS Limited who will arrange and administer your policy of insurance from a selected panel of insurers. UKAIS Limited is authorised and regulated by the Financial Conduct Authority under registration number 307223. The company is registered in England and Wales under company no. 02613429 with its offices at Prospect House, Gordon Banks Drive, Trentham Lakes North, Stoke-on-Trent, ST4 4TW.

If your policy started or renewed on or after 01/01/2015 American Express Insurance Services Europe Limited registered office 76 Buckingham Palace Road, London SW1W 9AX registered in England and Wales 05048826 introduces you to Ageas Retail Limited who will arrange and administer your policy of insurance from a selected panel of insurers. Registered office Ageas House, Hampshire Corporate Park, Templars Way, Eastleigh, Hampshire, SO53 3YA. Registered in England and Wales 1324965. Ageas Retail Limited is authorised and regulated by the Financial Conduct Authority. FCA registered number: 312468. Ageas Retail Limited is a member of the DMA and a sister company of Ageas Insurance Limited.