Home insurance claim

You are about to submit this claim form with the product issuer, QBE Insurance. Once you submit this form, an ANZ Claims specialist will contact you within 2 business days.

* Required fields

Policy details

Policy number

Are you the policy holder?

Yes No

Policy holder details

Given name

Family name

Preferred contact number

Preferred phone area codePreferred phone number Preferred mobile number

Email address

Preferred contact method

Email Phone

Address of the insured property

Street address

Suburb

State

Postcode

Incident details

Date incident occurred (DD/MM/YYYY)

Approximate time

Type of claim

Detailed description of incident/loss

Is the property habitable?

Yes No

Please submit this form online and then contact an ANZ Claims Specialist on
13 16 14 for urgent assistance

Details of why this property is uninhabitable

Are emergency repairs required?

Yes No

What emergency repairs are required?

Have emergency repairs already been completed?

Yes No

What emergency repairs have been completed?

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