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>> 10.01.12
The episode of the Channel 9 Today show screened on Tuesday 10 January discussed the rising cost ...
>> 29.12.11
The Christmas Day storms caused wide spread water damage across Melbourne. Although no preventati...
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Owners Corporation Claim Lodgement
Complete All Fields
Name of Manager
Email Address
Contact Number
Insurer
Policy Number
Due Date
Insured Plan Number
Is the insured registered for GST purposes?
Is the insured registered for GST purposes?
Yes
No
If yes above, please specify A.B.N.
If yes above, please specify A.B.N.
Have you claimed an input tax credit on the GST applicable to this policy?
Is the amount claimed less than 100% of the GST applicable to the premium?
Is the amount claimed less than 100% of the GST applicable to the premium?
Yes
No
GST % Claimed
GST % Claimed
Address at which loss/damage occurred:
Address at which loss/damage occurred:
Date of Loss
Time of Loss
Particulars of event causing damage:
Particulars of event causing damage:
Were the premises securely locked?
Were the premises securely locked?
How was entry gained?
How was entry gained?
Who discovered the loss?
Who discovered the loss?
Were there any witnesses? (to the loss, theft or damage?)
Were there any witnesses? (to the loss, theft or damage?)
Yes
No
Witness Details
Witness 1: Name
Witness 1: Name
Telephone
Telephone
Address
Address
Post Code
Post Code
Witness 2: Name
Witness 2: Name
Telephone
Telephone
Address
Address
Postcode
Postcode
Details of person causing damage (if applicable)
Offender's Name
Offender's Name
Offender's Address
Offender's Address
Offender's Car Registration
Offender's Car Registration
Offender's Insurer
Offender's Insurer
Have Police Been Notified? (Yes is required for all malicious damage/burglary claims)
Have Police Been Notified? (Yes is required for all malicious damage/burglary claims)
Yes
No
Police Station
Police Officer
Police Notified Date
Please supply any documentation / quotes
If repair/replacement has been carried out, please upload the documents below or alternatively please email / fax invoice(s), or alternatively forward quotation for repair/replacement) just to make it clearer for Managers.
If repair/replacement has been carried out, please upload the documents below or alternatively please email / fax invoice(s), or alternatively forward quotation for repair/replacement) just to make it clearer for Managers.
Document 1
Document 2
Document 3
Details of repair work and/or replacement
Item lost,damaged or stolen
Owner of item
If known: Date,name and address where item purchased.
Purchase price
Input tax credit
Amount claimed
Less excess of
:
TOTAL
:
Please make cheque payable to
Please make cheque payable to
Owners Corporation
Repairer or Supplier
Other
If you selected "other" above, please specify payee
If you selected "other" above, please specify payee
Security Code
Security Code
