Help us improve our website by completing a quick survey. Start survey now

You’ll need to update your browser so you can continue to log on to your online banking from 28th February. Update now.

Close

We just need some more information...

Please provide the following

After you submit this form our claims team will contact you within four business days to let you know how your claim is progressing. Please call us on 13 2423 if your claim's an emergency.

  • Required fields

Personal details

Is your vehicle registered for GST?

Vehicle details

Registration expiry
Is your vehicle financed?
Does your vehicle have any modifications or accessories?

Incident details

Tell us the date of the incident
Was your vehicle being driven at the time of the incident?

characters remaining.

characters remaining.

characters remaining.

Are you able to drive your vehicle?

Criminal, claim and incident history

We need to ask some criminal, claim and incident history questions now.

In respect to this or any other type of insurance held by any of the Insureds or drivers, has any insurer in the last five years refused to pay or denied a claim?

In respect to this or any other type of insurance held by any of the Insureds or drivers, has any insurer in the last five years:

Refused to offer cover or invite renewal?
Cancelled or avoided cover?
Imposed special conditions on a policy?

In the last 10 years, has any Insured or driver or anyone else covered by this policy, been charged with or found guilty of a criminal offence relating to:

Fraud or dishonesty?
Theft or robbery?
Arson?
Damage or threatened damage to property?
Injury or threatened injury to another person?
Drugs?
Stolen goods?
In the last five years, has any driver lost their licence or had restrictions applied, other than for a fine default?
In the last five years, has any driver of this vehicle had any accidents or incidents involving loss or damage to a motor vehicle?

characters remaining.

Before you submit your claim, can you confirm that the information you've provided is honest and accurate?