Claim Notification Form - Liability & Motor
For the purposes of the Data Protection Act 1998, the Data Controller in relation to any personal data you supply is the London Borough of Sutton.

We are under a duty to protect the public funds we administer, and we may use the information you have provided for the prevention and detection of fraud. We may also share this information with other bodies responsible for auditing or administering public funds for these purposes.

We are also under a duty to ensure all personal information we hold is accurate and, where necessary, up-to-date. We would therefore be grateful if you could notify us if your details change.

The information supplied to us may also be passed to other council departments and agencies (such as insurers, loss adjusters and investigators) for underwriting, claims and crime prevention purposes.

Email address *
Personal Information
Title *
Full name *
Your answer
Home address *
Your answer
Post code *
Your answer
Telephone number *
Your answer
National Insurance Number *
Your answer
Date of Birth *
Occupation *
Your answer
If you have an impairment that may affect your communication with us, please describe your impairment(s) and the support you require.
Your answer
Never submit passwords through Google Forms.
This form was created inside of RBK, LBS and AfC ( Report Abuse - Terms of Service - Additional Terms