Insurance Claim Form

TO LODGE YOUR APPLICATION TO THE INSURER, YOU ARE REQUIRED TO:

Complete and submit this application form and sign (if it’s downloaded or printed).
Be a lot owner.
Attach the supporting quotations, costs and any photos or reports.
Lodge this form online, or print the downloadable version and email the signed, completed form to insurance@slbcm.com.au or return it to our Office.

Claim description(Required)

Briefly describe what the claim is about

A) Insured Details

Body Corporate Name(Required)

This is the name of your property, not the body corporate management company.

Address of insured property(Required)

Name of owner(Required)

First and Last Name

Lot number(Required)

Email(Required)

Phone(Required)

Name of your body corporate manager(Required)

Name of your Committee Chairperson (if applicable)

Policy number and Name of insurer

This can be found on the property’s Certificate of Currency (COC). Log in to the Owner Portal to find your latest COC. Leave it blank if you’re still unsure.

B) Access Details

This is to contact the on-site person for inspection. A contact person could be you, the owner, an on-site building manager, a tenant etc, as long as they can be available on site.

Contact Name(Required)

Contact Phone(Required)

Email(Required)

C) Loss Details

All information in this section must be filled and satisfied.

Date you first noticed the damage or date of loss(Required)

How was the damage/ loss caused?(Required)

List of items being claimed(Required)

Amount ($) of each listed item(Required)

Each amount must correspond to each item on the list. If you don’t have the amount for that item at this point, put ‘to be determined’ or TBD

Attach a quote/ invoice corresponding to the listed items

Drop files here or

Max. file size: 512 MB.

*For the repairs of the resultant damage, please attach at least two quotes

Has the CAUSE of the damage been rectified? Give details

Attach an invoice(s) showing cause has been rectified

Drop files here or

Max. file size: 512 MB.

Please ensure you have two quotes to repair the resultant damage before submitting this claim to the Body Corporate Manager.

Any claim relating to Common Property (garage doors, entry doors) must be replaced as per existing at the time of the claim. Any proposed changes will require Committee approval prior to completion.

D) Third Party Details

If the Loss was caused by malicious damage, impact damage, vandalism or theft, please complete this section.

Was the loss reported to the Police?

Yes

Name of Police Station

Address of Police Station

Name of Police Officer

Police Report Number

E) Supporting Details

Any additional and essential information, reports or photos as well as comments:

For photos, please upload them below and describe them on the list. Alternatively, you can upload a word/ pdf file documenting the photos with descriptions. Descriptions may include the property, asset, exact location (floor number, unit, space, room etc,.) and the damage.

Upload a photo(s) or any official reports relating to the damage and loss or/and the rectification work (if any) to suppport your claim

Drop files here or

Max. file size: 512 MB.

If the photos uploaded don’t have a description, describe each of them on the list below (for eg, Photo 1: the tree fell on the roof of Unit 3; Photo 2: the water leak in the 3rd floor garbage room and so on).

Descripton for each photo attached

Declaration

By submitting the form here, I hereby declare that the information contained within this document is true and correct and I make this declaration on the basis that I have been delegated power to sign for and on behalf of the Body Corporate.

Please print name:(Required)

First Last

Date(Required)