Download and complete the Claim Form
Scan/copy and submit the form via email or post*
* Receive acknowledgement within 3 business days, or please phone 02 9413 8481
Contact Phone Number*
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.
PO BOX 42
Lindfield NSW 2070