Home claims form

Notify us of your claim.

NOTE:
Due to the significant weather events, delays may be expected in processing your claim. If your matter is urgent please call our CGU Claims team on 132480.

** You must complete at least one field

About you

First name (required) *

Surname (required) *

Address (required) *

Street address

Address 2

Apartment, Suite, Unit, Building, Floor, etc

Suburb (required) *

Postcode (required) *

Telephone Number (Home) **

Include area code and remove spaces, e.g. 03xxxxxxxx

Telephone Number (Mobile) **

Remove spaces, e.g. 04xxxxxxxx

Email address (required) *

Preferred contact method (required) *

Your policy details

Name of Insured (required) *

Policy holder name

Policy Number

Are you registered for GST purposes? (required) *

ABN (required) *

Enter your ABN using the following format: XX XXX XXX XXX

Have you claimed or are you entitled to claim an input tax credit on the GST applicable to this policy? (required) * Yes No Not sure

Specify the amount claimed or entitled to be claimed

Enter the amount as percentage 1-100 (%)

Are you entitled to claim an input tax credit on the repair/replacement of the item(s) which are the subject of this claim? (required) * Yes No Not sure

What is your percentage entitlement?

Enter the amount as percentage 1-100 (%)

About your claim

What date did the loss, theft or damage occur? (required) *

YYYY

What time did it occur?

Please describe what happened (required) *

Include details of how the event occurred and provide details of the loss, theft or damage.

Address where loss, theft or damage occurred

Street address & suburb

Please detail the extent of the damage to the property and the number of rooms impacted (required) *

For example: water damage to 2 walls of 1 room

Have you obtained a report/quote for the damages sustained? (required) *

Was the incident reported to the Police?

Police Report Number (required) *

I Agree (required) *

I agree to CGU handling my personal information in accordance with CGU's Privacy & Security policies.

Home claims form

Notify us of your claim.

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