Claims Contact Form

For any claims queries, please fill out the form below.

Thank you for taking the time to contact us about your claim

Thank you for your query. Someone will be in touch with you shortly.

Apologies, we are currently unable to handle your request. Please try again.

Warning - The E-Mail Address configured for this form is either unverified or invalid. Please verify the E-Mail Address and try again later.

First Name

Error Mandatory field

Last Name

Error Mandatory field

Error Invalid

Error Mandatory field

Email confirmation

Error Invalid

Error Mandatory field

Error The email addresses are not the same

Phone

Error Mandatory field

Please enter a valid phone number.

Please provide all the relevant policy details and a detailed description of your claim so that we can direct you to the right person.

Error Mandatory field

Please be sure to include your policy number.

Enter the text below. 60 seconds remaining. Can't read the text?

Text in the box above

Error Mandatory field

We've encountered an error. Please enter your details again.

Sorry, that does not match the text in the box. Please try again.

This form has over 75 fields, which is the maximum allowed number. Form submissions will fail if this page is published.

Warning - The technical field name "{0}" is duplicated in more than one location. This will cause information loss when delivering the form submission. Please remove the duplicated field or rename its field name.

Emergency Assistance
+64 9 486 6868

Emergency Assistance is available 24 hours, 7 days a week.

Contact Us
0800 800 048

Our hours are Monday to Friday 8.30am - 5.00pm.

Claims Contact Form

For any claims queries, please fill out the form below.

Thank you for taking the time to contact us about your claim

Please be sure to include your policy number.

Emergency Assistance +64 9 486 6868

Contact Us 0800 800 048

Emergency Assistance
+64 9 486 6868

Contact Us
0800 800 048