Professional indemnity or public and product liability claim form
If you wish to report an incident with regards to your professional indemnity or public and product liability insurance fill out the incident report form below. If the matter requires a response within the next 2 business days, please call us on 1800 810 213.
Section 1 - Reporter details (You as the reporter)
IMPORTANT
If you are a member of Australian Dental Association (ADA), please contact your association directly to report an incident or claim.
IMPORTANT
If you are a pharmacist, your Guild Insurance policy includes membership of Pharmaceutical Defence Limited (PDL). Please contact PDL directly to report an incident or claim and to receive peer support and counselling from one of PDL’s Professional Officers. You can phone PDL on 1300 854 838 or log into the member portal at www.pdl.org.au to access PDL’s Incident Reporting System
Section 2 - Policy information
Section 3 - Event details
Section 4 - Post event details
Section 5 - Insurance information
Section 6 - Information regarding GST