MAKE A CLAIM ONLINE

"*" indicates required fields

Policy holder name*

Insured address*

Contact number*

Email*

Policy number (if known)

You can find your policy number on your most recent statement

Loss date*

DD slash MM slash YYYY

Loss time*

Hours

:

Minutes

AM/PM

Type of claim*

Accidental damage

Fire/bushfire

Food spoilage

Burglary/theft

Glass breakage

Storm

Cyclone

Malicious Damage

Water damage

Other

Severity of Damage*

A – Significant damage to the home, unliveable

B – Moderate damage, still able to live in home

C – Minimal damage, still able to live in home

Details of damage/what happened*

When detailing the damage, please include the following if applicable: • Do you require emergency repairs to make the home safe & secure? • Has the roof been damaged allowing water into the home? • Is there any mould appearing as a result of an event? • Is there any asbestos in the home to be aware of? • Any special circumstances we need to be aware of?

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Conditions apply

+ Minimum premiums apply.

* Minimum premiums apply. A 72 hour exclusion applies for new policies. Refer to PDS for full details.

For policies with an effective date prior to 1/9/2022: All financial services in connection with your insurance are provided by us on behalf of product issuer, Liberty Mutual Insurance Company, Australia Branch (ABN 61 086 083 605) trading as Liberty Specialty Markets, a company incorporated under the laws of Massachusetts, USA (the liability of members is limited).

For policies with an effective date from 1/7/2023: All financial services in connection with your insurance are provided by us on behalf of the product issuers Liberty Mutual Insurance Company, Australia Branch (ABN 61 086 083 605), trading as Liberty Specialty Markets, a company incorporated under the laws of Massachusetts, USA (the liability of members is limited), Pacific International Insurance Pty Ltd (ABN 83 169 311 193), trading as Pacific International, and The New India Assurance Co. Ltd., Australia Branch (ABN 93 000 151 593)

Any general advice provided by Sure Insurance relating to this policy is provided under its Australian Financial Services Licence (AFSL 506 378) and does not consider your individual circumstances.

Please consider your financial situation, needs and objectives and read relevant Product Disclosure Statement (PDS), Supplementary Product Disclosure Statement (SPDS), Key Fact Sheet (KFS) and Target Market Determination (TMD) sheet and Sure’s Financial Services Guide (FSG) before deciding whether to buy this insurance from us.

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