Notify a Loss

To notify a loss please complete the following form:

* Mandatory fields

Contact & Policy Details
Policy number	Insured Name
Trading Name	Policy Type
Contact Name	Phone
Email
Name of your Insurance Agent	Insurance Agent Phone
Loss Event Details All Events
Date of loss / damage	Name of your insured property(s)
Cause of loss / damage: (If not listed 'Other')
Address of damaged property(s)
Nearest town to this property(s)	Note: if we have not already been provided with a Property Map or are not provided with one within 72 hours of the claim being lodged the Property Map Fee will apply. See the Policy wording for further details
Hail & Fire and Additional Benefit(s)
Estimate of the area damaged (Ha):	Estimated severity of overall damage as a %:
Do You Have any additional information or comments?

Crop Risk Underwriting