Claim Forms

After notifying us of your claim, you will have to fill out a claim form.

To ensure your receive your settlement as quickly as possible, please download the relevant form from the selection below and send it to This e-mail address is being protected from spambots. You need JavaScript enabled to view it or fax it to 03 9429 3699.

If you need to submit a claim please email our Claims Manager by clicking This e-mail address is being protected from spambots. You need JavaScript enabled to view it or call 9429 3600.

General Glass Claim

Motor Claim Form

Property Claim Form

Windscreen Claim Form