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Insurance Claim Request (NSW)

The claim excess will be verified, and the specifics of the claim shall be promptly forwarded to the Committee for thorough evaluation, thereby becoming an integral part of the Strata Records in accordance with the pertinent legislation.

Please take note of the following before filling out this form:

1. Bright & Duggan does not have the authority to make determinations concerning claims; such decisions lie with the insurer.

2. Failure to provide the requested information in this form may result in the insurer being unable to evaluate your request.

Was a report made to the police?

Have repairs been arranged?

Does the building have any other insurance policies?І

Excess Payable by*

Supporting Documentation (if applicable)

Drop files here or

Accepted formats: PDF, DOCX, JPEG and PNGMax file size: 10MB

Authorisation

Name of person completing request to submit claim

Acknowledgment

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