Tenant Damage and Default

Dependant on the options you have chosen, the cover is provided in the policy for damage by tenants not noted on the Ingoing Property Condition Report and provides financial protection if the tenant breaches their lease agreement and fails to pay rent.

The policy requires the owner/agent to take all reasonable steps to minimise the loss or damage incurred and your claim settlement may be reduced if you or your agent fail to issue and/or act on breach notices as provided under the relevant Residential Tenancies Act applicable to your State or Territory.

If the damage is extensive, please contact our team immediately, as we may need to appoint an assessor.

Complete the form below to make a claim and provide all supporting documentation as soon as possible to assist us in settling your claim without any delays.

Tenant Damage and Default Claim Form



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This form was completed by
Name of person submitting the form


Policy Number
Expiry Date

Insured Details

Insured Name
Insured Email
Contact Number

Payment Instructions

Payment option
Account Name
Account Number

Address of Premises where Loss or Damage occurred

Full Address
House/Street Number

Claim Details

Please supply a full statement of the circumstances of the loss

Tenant details

Tenant Name
Contact Number
Forwarding Address
Date tenant vacated property
Date to which rent is paid in full (excl. bond)
Total rent loss (do not deduct from bond)
Rent per week
Calculated from
Calculated to
Period of Loss
Is there a new tenant?
If Yes, Date commenced
If No, Provide details
Total Rent Loss

Bond Expenses

Total Amount of Bond

Bond Deductions

Deduction Description Amount

Deliberate Damage

Did malicious, deliberate or intentional damage or theft occur?
If claiming theft by tenant, provide police details

Please specify all claims for malicious, deliberate, intentional damage or theft

Details of Loss or Damage Amount


Please ensure the following for file upload:
  • The file size cannot exceed 25 megabytes.
  • Upload of files can take between 5 to 10 minutes depending on the file size and your internet speed.
Residential Tenancy Agreement
Tenancy Application Form
Copies of all Notices to vacate property by either party
Copies of Breach and / or Termination notices
Tribunal / Court / legal documents if applicable
Tenant Rent ledger showing at least 3 months of transactions prior to the loss
Copy of the Entry & Exit Property Condition Report / Inventory (if claiming damage or theft)
Copies of all invoices, quotes and / or documentation to support loss, including bond expenses
Proof of advertising
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:
  • 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.

Claim Confirmation Message

Thank you. Your claim has been received and will be processed by our staff within 4 working days. A copy of the claim form has been sent to your nominated email address. If you do not receive it within 24 hours, please contact us.

Claim Saved For Later

Thank you. Your Tenant Damage Claim claim has been saved and an email was sent to . To complete the claim please follow instructions in the email.

Do you want to continue entering claim?