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

If known, have you claimed or are you entitled to claim an input tax credit on the GST applicable to the premium? Yes No

Is the amount claimed or intended to be claimed less than 100% of the GST applicable to the premium? Yes No

Specify the percentage amount claimed or intended to be claimed

Enter the amount as percentage (%)

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

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.

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