Quotation Request HE - Groupon (Saver) Your Details Your Cover Your Household Declaration Claim Review Complaint Module Cover Details THIS IS A GROUPON (SAVER) HOME EMERGENCY QUOTE/SALE In the event of having any issues or queries please call 01945 586200 Name -- Mr Mrs Miss Ms Dr Prof. Capt. Lord Lady Major Rev. Master Exec(s) of Mx Email AddressYou will use this along with your password to login to your account to retrieve your paperwork if required. These details will automatically be emailed to you for your reference. Email you will log in with this Forgot your password? Email enter again Password Password enter again Mobile Telephone When would you like cover to commence? 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2024 Select Your Level of Cover Boiler Only Policy Benefits £100 excess in the event of claim Nationwide coverage with fully qualified and approved engineers Upto 1 hour of assitance to repair your boiler Replacement parts are covered within the policy (Some exclusions do apply. Please refer to the policy wording) To view the cover wording please click here -Hidden- Base Rate £ Your HouseholdSelect the make of your boiler - select - AlphaAndrewsAristonBaxiBiasiBuderusChaffoteaux & MauryCharnwoodClydeDunsley HeatEurocalFerroliGlow WormGrantHamworthyHeatlineHeatrae SadiahomeTechidealIntergasJohnson & StarleyKestonMainMistralParkrayPottertonRadiantRangeRavenheatRemehaSaunier DuvalStokvisThe Electric Heating CompanyThermaflowTriancoVaillantViessmannVokeraWarmflowWorcesterZanussi Boiler model I can confirm that the boiler is no greater than 10 years of age YesNo Unfortunately we are unable to cover your boiler as it is over 10 years of age. Please contact Wowcher with regards to a refund of the monies paid. DeclarationPlease enter your Wowcher voucher code. Please note that the code required is a 10 character string consisting of letters only. For example: ABCDEFVXWK You have successfully entered a voucher code! You have entered an incorrect voucher code. Please try again. I understand that I will not be able to make a claim under this policy for the first 14 days from the start date of the policy as I have selected. I also agree to the terms and conditions and privacy terms of the membership as outlined. I hereby declare the details I have submitted to be true and accurate. Also the boiler is serviced annually and in the event of a claim I am able to provide evidence of this. In addition to receiving an instant email when I take out a membership, I agree to Emergency Assist keeping me informed with offers, products and promotions it believes would interest me by email. Claim ReviewCan we contact the client for a post claim review? n/a Yes No ComplaintsComplaint Log Date of Incident 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2022 2023 2024 Date of Receipt 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2022 2023 2024 Complaint Method Eligible Complaint? Yes No Pending Referred to FOS? Yes No Pending Category of Complaint Description of Complaint Status Financial Redress Offered (£) £ Accepted? Yes No Pending Closed Date 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2022 2023 2024 Cover Details Total Premium (Net) £0.00 + VAT @ % £0.00 + Policy Fee £ £0.00 Total Premium £0.00 Total Commission £0.00 (Due From Broker) £0.00