Insurance Claim Request NSW

This form allows lot owners to have a claim lodged on their behalf through the owners corporation Insurer.

Please note the following prior to completing this form:

Bright & Duggan does not make decisions regarding claims. Those decisions rest with the owners corporation Insurer
If the information requested in the form is not provided, the Insurer may be unable to consider your request.

Do any of the following apply to you?
- Is this incident lodged and part of an existing claim?
- Has this incident already been claimed?
- Has this incident already been claimed/finalised, and you need the claim re-opened?
Yes/No*
- Yes
- No
If you answered YES to any of these questions:
- Please contact your Strata Manager via phone or email to discuss this matter.
- The Broker/Insurer will then be contacted for further actioning.
Owner Details
Name*
Email*
Phone Number*
Fax
Postal Address Line 1*
Postal Address Line 2
Suburb*
State*
Postcode*
Building Details
Building Name
Strata Plan*
Lot Number*
Unit Number*
Property Address Line 1*
Property Address Line 2
Suburb*
State*
Postcode*
Is the property Owner Occupied or Tenanted?*
- Owner Occupied
- Tenanted
Claim Details
Date of damage/loss occurred
MM slash DD slash YYYY
Description of how loss/damage occurred (for example – hail damage to roof, flood due to burst pipe*
Full description of loss/damage, including each item lost, stolen or damaged AND its location (for example – broken glass in bedroom window, collapsed ceiling in kitchen due to burst pipe)**
Are you aware of any other units/lots affected from this same incident?
Was a report made to the police?*
- Yes
- No
If Yes, provide details (i.e., date reported, case file number, etc)*
Have repairs been arranged?**
- Yes
- No
If Yes, provide details including attaching any relevant documentation, photos, quotes, invoices etc to support your claim. (The Insurer will request a cause of damage report.)*
Supporting Document (Upload File - Maximum of 8 Files)
Drop files here or

Max. file size: 24 MB, Max. files: 8.
Additional information (for example – further claim information, Tenant contact details if not live-in Owner, assessor required)
Declaration
INSURANCE CLAIM TERMS*
I have read and agree to the below insurance claim terms
• By submitting this form, I am confirming that the information I have provided is truthful, accurate and complete, and that no information likely to affect this claim has been withheld.
• I understand that this claim may be refused if information is untrue, inaccurate, or withheld.
• I acknowledge that my application is subject to the approval of the Insurer.
• I acknowledge and understand that I may be responsible for paying the excess.
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Comments
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Contact Us

Head office

Level 1, 37 - 43 Alexander Street
CROWS NEST NSW 2065
Phone: 02 9902 7100
Fax: 02 9439 6443
customercare@bright-duggan.com.au

Mailing Address
PO Box 281
CROWS NEST NSW 1585

Business Hours
9:00am - 5:00pm

Insurance Claim Request NSW

Do any of the following apply to you?

Owner Details

Building Details

Claim Details

Declaration

Contact Us

24 / 7 Emergency After Hours Service

Phone 1300 092 863