Submit a Claim

Submit a Claim

Please complete the following details and click Send. We will review your claim and contact you.

You can also ring the Business Insurance Quoting Hotline 07 4681 1289 Monday to Friday, 9am to 5pm.

    * Required Information

    Date*
    Name*
    Email*
    Phone*
    Address*
    ABN (if applicable)
    Type of Loss*
    Date of Loss*
    Time of Loss*
    Preferred Repairer
    Fusion age of unit (for building claims)
    Reported to Police? Report number (if applicable)
    Proof of Ownership? (for building claims)

    Ownership Documentation (for building claims)

    GST Registered?
    ITC%
    Road where incident occured? (for vehicle claims)
    Vehicle Driveable? (for vehicle claims)
    Driver (for vehicle claims)
    Date of Birth (for vehicle claims)
    Rego (for vehicle claims)
    Vehicle Description (for vehicle claims)
    Were Alcohol or Drugs involved? (for vehicle claims)
    Third Party Details (for vehicle claims)

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