Type of Policy
Did any Person/s cause the damage? (whether intentional or not)
If damage caused by impact please provide:
Police must be notified when property is lost, stolen or maliciously damaged - please ensure that notification is made prior to the claim being lodged.
Contact Details Should an Assessment be Necessary
Please provide the contact details of a person or persons who may be contacted in the case that a loss adjuster requires access to the premises
What is being claimed?
Please list the articles lost, stolen or damaged and the amount being claimed.