Submit your claim
for treatment online

If you’re instructing us to pay your claim in a currency other than the currency you pay your premiums in, we won’t be responsible for losses due to exchange rate fluctuations. If we’re making a payment for multiple invoices that you’ve submitted, we’ll use the exchange rate for the date stated on the final invoice during your period of cover. If the invoices fall in two periods of cover, we’ll use the date stated on the final invoice during each period of cover.

Please complete this form and email to claims@william-russell.com.

Please provide the bank details of the account you wish to receive payment to below.

*BIC and IBAN details are necessary for all transfers to European and UAE bank accounts. BIC and bank account numbers are necessary for all transfers to international bank accounts.

*This should be completed by the claimant’s parent or guardian if the claimant is a child under age 16, or by the claimant’s next of kin if the claimant is unable to provide properly informed consent due to cognitive disability or otherwise, or if the claimant is deceased. Please also state your relationship to the claimant and provide contact information.

*Our privacy policy contains information about how we use your personal information, who we share it with and your rights over how it is processed. For full details of our privacy policy, please visit www.william-russell.com/privacy/