New Insurance Claim Form
Please complete below fields, providing as much information as possible.
This will assist the insurer in processing your claim.
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* Requestor Name
* Requestor Contact Number
* Requestor Email
* Scheme Number
Are You GST Registered?
* If yes please provide ABN Number & ITC %
* Claim Referance No
* Policy No
* Claim Type
Strome Damage (hail, strong winds, electrical power surge, lightning, flood, structural etc.)
Water Damage (concrete spalling, flood, roof hole/sagging, electrical etc.)
Impact Damage (Graffiti, vandalism etc.)
Break & Enter (in most cases you will require a police report number)
OTHER (a complete description is required, upload an attachment if needed)
* Incident Date
* Loss Details
Add an Item Claimed by clicking
below, to delete click the
I hereby declare that the information contained within this document is true and correct and I make this declaration on the basis that i have been delegated power to sign for and on behalf of the Owners Corporation.
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