Insurance Claim

To lodge an Insurance Claim on behalf of an Owner's Corporation please complete the form below and click Submit.

We will process your claim within 3 - 5 business days and or contact you if any further information is required.

NOTE:
All fields marked with * must be completed.

Date / Time Of Claim:

12th May 2021 - 23:39

Claimant Contact Details

First Name:

Surname:

e-Mail Address:

Phone Number:

Policy & Property Details

Areas Or Lots Affected (If Relevant):

Street Number of property:

Street Name of property:

Suburb of property:

Postcode of property:

State of property:

Owners Corporation Number:*

ABN:

Registration for GST:

Strata Management Company:

Strata Manager Name:

Insurance Policy Number:

Underwriter:

Claim Details

Date Of Loss:

Briefly describe the circumstances relating to this claim:

What is the amount of damage / loss being claimed?:

Police Report Details

A police report is required if theft, vandalism or other loss is involved.

Was the matter reported to Police?:

If Yes, on what Date?:

If Yes, at what Police Station?:

If Yes, what is the Report Number?:

Other Details

Please add any other relevant comments:

Supporting Documents:

Supporting Document 1:

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Supporting Document 2:

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Supporting Document 3:

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Supporting Document 4:

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Supporting Document 5:

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Security Check

Match The Characters In The Picture:*

Please type the characters exactly as they appear in the image above.