Insurance Claim Request

Insurance Claim Request

This form must be completed by a Committee Member, the Lot Owner or Property Manager only. If you are a tenant please contact your Property Manager or Landlord.

If you would prefer to download the form, and return to our office with hard copies of supporting documents, please click Download Form.

Download Word Version




Position with Body Corporate*:
OwnerChairpersonCommittee MemberProperty Manager
If Property Manager, please advise name of your company and which owner/unit you represent:



What date did the incident occur?*:

Which Unit or Area was involved?*:

Type of Event that has caused damage*:

Full Description of the Incident*:

* Mandatory field-information must be provided

  • At least two (2) quotes from appropriate contractors to repair resultant damage
  • Photos of the damage to support quotes provided
  • If damage is caused by Water penetration, a copy of the invoice or receipt identifying that the cause of water entry has been repaired is essential
  • If damage caused by Vandalism then the Police Crime Report Number and Station reported needs to be included in Incident Details
  • If damage was caused by a Vehicle, the vehicles registration number and owners name (if available) needs to be included in Incident Details
  • For Fusion Claims (burnt out motors), the repairer needs to state in their quote or invoice the cause of failure, age of motor, size (kw) of motor and why motor could not be repaired
  • The date of Storm needs to be included in incident details when damage occurs from storm or high wind
I hereby declare that the information provided, including description of property lost or damaged, is true and correct.

Enter Verification in box below:

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