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You can also ring us on 07 4681 1289 Monday to Friday, 9am to 5pm.

    * Required Information

    Name
    Email
    Phone
    Type of Loss
    Address of loss
    Date of Loss
    Time of Loss
    What Happened
    Vehicle Driveable? (for vehicle claims)
    Driver (for vehicle claims)
    Driver Date of Birth (for vehicle claims)
    Rego (for vehicle claims)
    Third Party Details (for vehicle claims)
    Preferred Repairer
    Other Comments

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