Would like to discuss a claim already in progress.
Need to lodge a new claim.
Your policy number.
Details and dates of inspections, treatments and alleged actions that give rise to the potential claim.
Name and address of your customer (the claimant).
Details of their allegations.
Please complete this form with as much detail as possible. Upon completion, a Claims Officer will be in contact to discuss the issue. This form must be completed by an Authorised Person on the Insured’s Policy. All questions must be answered as fully as possible.
* Denotes a required field
We encourage all customers to be aware of suspicious activity, in order to protect against fraud and scams. For information on how to stay safe from scams please visit ACSC, Moneysmart and the Office of the Australian Information Commissioner.