Insurance Claims

This form is used by an owner to submit Body Corporate related insurance claims.

Claimant
Details of the person lodging the claim
Body Corporate Manager Name
Please write the name of your Body Corporate Manager (i.e. John Smith) so this form can go direct.
Person lodging the claim*
- Owner
- Tenant
- Property Manager
Name*
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code
Phone*
Mobile
Email*
The Insured
Body Corporate (building) name:*
The name of the Body Corporate scheme. If you are unsure please contact our office.
CTS
Community Title Scheme Number.
Address of the Body Corporate:*

The Incident
This claim will not be processed unless this section is completed.
Please explain how the damage occurred:*
Date*
If the exact date of loss is not known please provide the date the damage was first discovered.
Please provide description of what has been damaged, lost or stolen:*
Glass Claims for Commercial Strata policies must be submitted with a copy of the tenancy agreement showing that the Body Corporate is responsible for glass breakage, or, if the unit is owner-occupied, please advise.

Theft Claims for Common Area Contents must be submitted with proof of ownership (ie original purchase receipts, copy of asset register).

Resultant Water Damage claims (ie damage caused by the leakage of water) must be accompanied by a rectification invoice showing that the cause of the water leak has been repaired ( this invoice must show the scope of works carried out).
File
Drop files here or

Accepted file types: jpg, jpeg, gif, pdf, Max. file size: 500 MB.
Is a third party involved in the damage (whether intentional or accidental)?*
- Yes
- No
Name:
First Last
Address:
Street Address City State / Province / Region ZIP / Postal Code
Phone:
Email
Police Report: If applicable
Police must be notified when property is lost, stolen or maliciously damaged – please ensure that notification is made prior to the claim being lodged.
Police Station:
Officer's Name:
Crime Report Number:
Date Reported:

Contact Details Should an Assessment be Necessary
Should an assessment be necessary please provide the following for a person/or persons who may be contacted to access this dwelling.
Is the contact person the same as the claimant?*
- Yes
- No
Please complete the below details for the an appropriate contact person
Name:*
First Last
Address:*
Street Address City State / Province / Region ZIP / Postal Code
Phone:*
Phone - secondary:
Email*
Declaration
A Claim will not be processed unless the below checkbox is ticked by a person authorised by the insured.
Name:*
First Last
Date*
Declaration*
- I hereby declare the answers to all the questions on this claim form and the description of the property lost or damaged are true and correct and that I have not concealed anything of which the Underwriters should be aware.
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