Claim notification service

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.

Fields marked with * are mandatory

Title

First name

Last name

Date of birth

Your preferred contact number

Your policy details

Policy number

Benefit type

You can find out what benefits you’re entitled to by checking your annual statement, logging into MyPortfolio, or talking to your financial adviser.

How did you get your insurance?

From an adviser

Directly from AMP

Through my employer

Superannuation arrangements

Your adviser details

If you have a adviser and would like us to contact your adviser directly about this claim, please provide their details below.

Your adviser's name

Your adviser's contact number

About your claim

What best describes your reason for making this claim?

My Injury / Illness will prevent me from ever returning to work

My Injury / Illness currently prevents me from going to work, but I expect to work in the future

I have a terminal illness

I have a condition listed under my crisis / trauma plan

I am claiming on behalf of a policy holder

Please describe the illness, injury or condition to which this claim relates.

For more details about privacy and the information we collect, please read our Privacy Collection Statement