Property Damage

You can have peace of mind knowing that your policy provides cover for a range of defined events such as fire, storm, flood and impact which can give rise to damage to your Property.

The policy excludes damage caused by gradual deterioration, wear and tear, lack of maintenance and neglect.

If you have a situation that requires urgent attention or a claim where you think the damage repairs may exceed $5000, please contact us immediately. If possible, secure the property to prevent further damage.

Please complete the form below, providing full details about your loss/damage, including quotes for repairs/replacement. This will ensure your claim is processed as quickly as possible.

Property Damage Claim Form

PRIVACY NOTICE

We are bound by the Australian Privacy Principles (APPs) under the Privacy Act 1988 (Cth) and comply with the Privacy Act 1988 (Cth).

We are committed to ensuring that all Our Business dealings comply with the APPs and acknowledge the importance of keeping personal details for individuals confidential and secure.

We collect personal information for the purpose of providing insurance, including arranging insurance, policy administration and claims handling. Without this information, we are not able to provide you with the services You require.

If you would like a copy of our privacy policy, would like to seek access to or correct your personal information, or opt out of receiving materials We send, please contact us.

CLAIM SUBMITTED BY

This form was completed by

Name of person submitting the form

Email

SECTION A - OWNER/S

Policy Number

Expiry Date

Insured Details

Insured Name

Insured Email

Contact Number

Payment Instructions

Payment option

Bank

Cheque

Bank

Account Name

BSB

Account Number

Address of Premises where Loss or Damage occurred

Full Address

House/Street Number

Suburb,State,Postcode

Claim Details

Date of Incident

Time of Incident

Details how the loss / damage occurred?

Provide exact details how the loss / damage occurred?

If Water Damage, what was source of water and how did it enter the building?

If Burglary / Malicious Damage, how was entry gained?

How and by whom was the damage discovered?

Name and Address of person(s) responsible for the loss / damage (if known)

Date Reported to Police

Police Report No.

Was the property un-tenanted at the time of the loss

Yes

If Yes, date last tenanted

Details of Loss or Damage – list each item separately

Description of Property	Purchase Price	Purchase Date	Cost to Replace	Amount Claimed
					X

Add More

Input Tax Credit entitlement

Is ITC applicable?

Yes

What is your ABN?

Input Tax Credit entitlement percentage for GST on premium

If you are a business and do not provide us with your ABN, we may withhold tax on payments we make under your claim.

Insured Declaration

I declare that:

All statements and particulars stated on this form and all documents submitted are true and correct.
I will give all reasonable assistance and co-operation to the insurers in the assessment of my claim.
I have not withheld any material information connected with this claim that will inhibit the insurer’s ability to make a fair and reasonable assessment of my claim.
I understand that this claim may be refused if any information provided is false, or inaccurate or concealed.
I acknowledge that my personal information may be disclosed to, and obtained from related entities, other insurers, investigators or other parties providing services to the Insurer.
I assign to the insurer all rights of recovery/salvage against any person or organisation and will cooperate to secure such rights.

Yes, I agree.

Property Damage

Property Damage Claim Form

PRIVACY NOTICE

CLAIM SUBMITTED BY

This form was completed by

Name of person submitting the form

Email

SECTION A - OWNER/S

Policy Number

Expiry Date

Insured Details

Insured Name

Insured Email

Contact Number

Payment Instructions

Payment option

Bank

Account Name

BSB

Account Number

Address of Premises where Loss or Damage occurred

Full Address

House/Street Number

Suburb,State,Postcode

Claim Details

Date of Incident

Time of Incident

Details how the loss / damage occurred?

Provide exact details how the loss / damage occurred?

If Water Damage, what was source of water and how did it enter the building?

If Burglary / Malicious Damage, how was entry gained?

How and by whom was the damage discovered?

Name and Address of person(s) responsible for the loss / damage (if known)

Date Reported to Police

Police Report No.

Was the property un-tenanted at the time of the loss

If Yes, date last tenanted

Details of Loss or Damage – list each item separately

CLAIM ATTACHMENTS

Please ensure the following for file upload:

Repair / Replacement Quote

Repair / Replacement Invoice

Damage Report

Original purchase invoices for stolen items

Photographs of damage

Input Tax Credit entitlement

Is ITC applicable?

What is your ABN?

Input Tax Credit entitlement percentage for GST on premium

If you are a business and do not provide us with your ABN, we may withhold tax on payments we make under your claim.

Insured Declaration

I declare that:

Claim Confirmation Message

Claim Saved For Later

Address

Contact

Working Hours