If you, or anyone acting on your behalf, make a claim knowing it to be false or fraudulent in amount or in any other respect, this insurance shall be invalid and all claims shall be forfeited.
We will not pay for any claim if any loss, damage or liability covered under this insurance is also covered wholly or in part under any other insurance except in respect of any excess beyond the amount which would have been covered under such other insurance had this insurance not been effected.
Insurers shall be entitled to take over and conduct in your name, the defence or settlement of any claim, or to prosecute in your name for own benefit, any claim for indemnity, or damages, or otherwise and shall have full discretion in the conduct of any proceedings, and in the settlement of any claim.
The issue of this form is not an admission of a claim and further information may be requested upon receipt of all the facts relating to this treatment/incident.
Please complete the following and submit it to us as soon as possible.
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