Details of Event:

Address where event occurred(Required)

For claims on the Owners Corporation Insurance the excess is payable by the claimant.

Building Name Street Address Suburb Post Code

Nature and Cause of Damage(Required)

Date of Loss(Required)

Contact Details for Access

Name(Required)

First Last

Phone(Required)

Email(Required)

Police Report Details

Please note a police report is only required if the claim has arisen from criminal activity and the owners corporation has received damage e.g. you experienced a break-in and a door or window is damaged.

Police Report Attached?

Yes

Police Report Date

Third Party Details

Is the claim recoverable from a third party?(Required)

Yes

Third Party Name

First Last

Third Party Address

Street Address Suburb Post Code

Third Party Phone

Third Party Email

Vehicle Registration (if applicable)

Vehicle Insurer (if applicable)

Invoices and Quotes

Please upload any invoices or quotes relevant to this claim.

Drop files here or

Max. file size: 50 MB.

Declaration

I hereby declare that the above statements are true and correct

Name(Required)

First Last

Address(Required)

Street Address Suburb Post Code

Phone(Required)

Email(Required)

Signature(Required)

Quick Links.

Insurance Claim Form

Insurance Claim Form

Details of Event:

Contact Details for Access

Police Report Details

Third Party Details

Invoices and Quotes

Declaration