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MAKE A CAR INSURANCE CLAIM.

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Claim in NetBank

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

Your policy number

First name

Last name

Best contact number

Address

Suburb

Postcode

Is your vehicle registered for GST? Yes No

Vehicle details

Make and model

Year

Body colour

Registration number

Registration expiry

Is your vehicle financed? Yes No

Does your vehicle have any modifications or accessories? Yes No

Tell us about any modifications or accessories

Incident details

Tell us the date of the incident

Tell us the time of the incident

Was your vehicle being driven at the time of the incident? Yes No

Where did the incident happen? Tell us the street name or nearest intersection

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Suburb

Tell us how the incident happened in as much detail as possible

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Tell us about any damage to the vehicle in as much detail as possible

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Are you able to drive your vehicle? Yes No

Where's the vehicle now?

Was it towed? Yes No

Does it need to be towed? Yes No

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? Yes No

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? Yes No

Cancelled or avoided cover? Yes No

Imposed special conditions on a policy? Yes No

In the last five years, has any driver lost their licence or had restrictions applied, other than for a fine default? Yes No

Tell us which driver lost their license and the month and year it happened

In the last five years, has any driver of this vehicle had any accidents or incidents involving loss or damage to a motor vehicle? Yes No

Tell us which driver had an accident or incident and the month and year it happened

Is there anything else you'd like to add that could help us assess and manage your claim?

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Before you submit your claim, can you confirm that the information you've provided is honest and accurate? Yes No

Important information

Car Insurance is provided by CommInsure, a registered business name of Commonwealth Insurance Limited ABN 96 067 524 216 AFSL 235030 (CIL). CIL is a wholly owned non-guaranteed subsidiary of Commonwealth Bank of Australia ABN 48 123 123 124 (The Bank). The Bank does not guarantee the obligations or performance of CIL or the products it offers. This information is provided by CIL and where we refer to 'we' 'us' and 'our', we mean CIL. Download a Car Insurance Product Disclosure Statement (PDS) and Financial Services Guide (FSG) or call 13 2423 for a paper copy.

For privacy information, please see our Privacy Policy Statement.