Theft Claim Form

We’re sorry to hear your vehicle has been taken, but you’ve come to the right place for help to get you back on the road. All questions in the claims form are mandatory unless specified as optional. Try to complete as many of the optional questions as you can, it will help keep things moving.

1

Policy

1. Policy Holder

Client reference number

Full name of insured person or company

Email address

Phone number

Address line 1 (optional)

Address line 2 (optional)

Suburb (optional)

City (optional)

Postcode (optional)

Do you have any other insurance on the vehicle or accessories?

Yes
No

Please describe them

All claims are subject to the underwriter's acceptance of cover.
See our policy wording form more information.