Make a Claim

claims

Type of Policy

The Insured

ie. If Body Corporate please insert the name of the building, or if contents claim; insert the name of the insured parties.

GST Declaration

The Insurer

What Happened

Did any Person/s cause the damage? (whether intentional or not)

Please Complete:
If damage caused by impact please provide:

Police Report

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.

Supporting Documentation

Drop a file here or click to upload Choose File
Maximum upload size: 52.43MB

DECLARATION

I declare that to the best of my knowledge and belief the information in this form is true and correct and I have not withheld any relevant information. I consent to BCB using the personal information I have provided on this form for purposes of processing my claim and in accordance with BCB's Privacy Policy. Where I have completed this form as a representative of another person, I confirm that person has authorised me to disclose their personal information included on this form and for that information to be used for purposes of processing their claim and in accordance with BCB's Privacy Policy. I understand that if I choose not to provide the required details my claim may not be able to be processed.

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