This form notifies us of your intent to make a claim as a result of an illness or injury. We will contact you to complete the claim lodgement
We understand that making a claim comes at a challenging time for you and your family. We will do our best to make sure that all of your contact with us is handled in a timely, professional and caring manner.
If you have a adviser and would like us to contact your adviser directly about this claim, please provide their details below.