Home and Contents insurance liability incident form

If you wish to report an incident with regards to liability, please fill out the incident report form below and a claims specialist will contact you to discuss the matter.

If you wish to speak to someone straight away, please contact us on 1300 988 988

Section 1 - Policy information

 

Will you be the main contact for this claim?*

Are you the Insured Policyholder?*

Do you give authorisation for anyone else to act on your behalf for this claim?*


Section 2 - Event details

 


Section 3 - Injury information

Was anybody injured?*


Section 4 - Property damage information

Was any property damaged?*


Section 5 - Further details

 

Please upload any relevant documents

This field is required

Add another

Section 6 - Information regarding GST

 

Are you registered for GST?

Have you claimed an input tax credit for the GST included in your insurance policy premium?

If yes, was the amount of GST claimed less than 100% of the GST included in the premium?