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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
Broadacre - Post-harvest Declaration
Broadacre - Pre-harvest Revision
Cotton - Variable Yield
Cotton - Capped Yield
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')
Hail
Fire
Frost
Crop Establishment Failure
Straying Livestock
Chemical Overspray
Replant Subsidy
Baled Hay in Transit
Baled Hay in Storage
Harvested Grain in Fixed Storage
Harvested Grain in Temp Storage
Harvested Grain in Transit
Fire Mitigation
Fire Fighting
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?