Download your Claims Form


The Gallagher Bassett team is committed to providing you with the support you need. To ensure we can assist you effectively, complete your details below to access and download the required claims forms.

Please note a web submission only will not be accepted, we do require a fully completed form. 

Once complete, email the form(s) to uk.travel.info@gbtpa.com along with copies of any supporting documents.  

If you prefer to print the forms and complete by hand, you can scan the completed forms and email them to the above address or post them to: 

Gallagher Bassett

Accident & Health Division

North Felaw Maltings

48 Felaw Street

Ipswich

Suffolk

IP2 8PN

A Claim Number will be allocated upon receipt of your completed Claim Form. 

Please fill in the information below to access the claims forms