Home & Contents claim | Securitex Insurance Services

This on-line Claims lodgement facility enables you to lodge a Home and Contents claim direct to the Claims team for assessment.

Simply complete the on-line form and the information will be sent to the appropriate claims team. Following receipt of your new claim, a Claims consultant will contact you within 24 business hours between 8am and 6pm EST. Please indicate if you are happy to be contacted outside these hours. A copy of the information that you have submitted will also be sent to your nominated email address and to your Adviser.

When the Claims consultant does contact you, they will need to confirm your identity before they will be able to discuss the claim with you.

When completing this new claim form, please supply at least two contact numbers to ensure the Claims consultant can contact you.

The asterisk (*) indicates that this information is required before submission of the form.

Policy Number*
Policy Holder's Name*
Contact Name*
Insured address shown on policy
Address where damage occurred
Date of loss/accident*
Time of loss/accident

: HH

MM

AM/PM
Home Phone Number

(Please include area code)
Work Phone Number

(Please include area code)
Mobile Phone Number
Email Address*
Preferred Contact Method
Type of loss*
Brief description of damage or loss*
Please list the items/area of property affected by this event*
eg : 1 x 18ct,YG,1 ct princess cut diamond engagement ring approx $10,000 or 1 Sony Bravia 52 inch LCD TV model #kdl52x3100 approx $4500 or approx 3 sqm of cut pile carpet in the living room
Please provide a police report date, number and name of police station if incident was reported
Do you have an ABN?*
(Australian Business Number)
Are you registered for GST?*
(Goods & Services Tax)
If you are registered for GST please advise the percentage you are able to claim back from the ATO
Special Instructions / Comment
Related Documents
Drop files here or

Max. file size: 2 MB, Max. files: 2.
If you would like to send the Claims team any documentation or photos in support of your claim, you may do so by selecting a maximum of 2 files that will be sent with the information above.
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