Make a claim

1

Download and complete the Claim Form

Download the Form
2

Scan/copy and submit the form via email, post or DX *

Lodge Your Claim

* Receive acknowledgement within 3 business days, or please phone 02 9413 8481

Claim submissions

Upload your claim*:

I confirm that *:

I have included all supporting documentation.

I have included both Part 1 and Part 2 of the Claim Form including sign off from a Medical Practitioner.

Postal address

PO BOX 42
Lindfield NSW 2070

DX address

DX 23403
Lindfield NSW 2070