Gem claim form 2025

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4.8 out of 5

37 votes

The document is a claim form for GEM Reclaim, intended for members to report vehicle breakdowns and request refunds for associated costs. It requires detailed information about the member, vehicle, breakdown circumstances, and expenses incurred. Members must provide personal bank details for refunds and submit original receipts for services rendered. The form emphasizes the importance of accuracy in the provided information and outlines the response timeline from the company.

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Click ‘Get Form’ to open the gem claim form in the editor.
Begin by filling out the Member Details section. Enter your GEM membership number, name, and personal bank details for refund, including account name, bank or building society, account number, sort code, address, email for confirmation, postcode, and telephone number.
Next, provide Vehicle Details. Fill in the make and model of your vehicle, registration number, date first registered, and indicate if you are the registered owner. If not driving at the time of breakdown, include the owner's name and address.
In the Breakdown Details section, specify where you were traveling from and to, the purpose of your journey (be specific), place of breakdown, date and time of breakdown, cause of breakdown, and number of occupants in the vehicle.
Complete the Details of Claim section by entering costs for roadside repairs (if applicable), recovery services provided, alternative travel means (including costs), and emergency overnight accommodation details.
Finally, certify that all information is accurate by signing and dating the form before submitting it through our platform.

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Versions	Form popularity	Fillable & printable
2017	4.5 Satisfied (48 Votes)
2016	4.8 Satisfied (37 Votes)

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