Claim Lodgement Form

This form is for customers who have new damage from a natural disaster which occurred from 1 January 2019.

Please also use this form if the damaged building has 10 or less units.

To complete this form you need the following:

• a New Zealand contact address and phone number
• details of the damage that has occurred
• details of your private insurance policy
• the policyholder's postal address and phone number if you are not the policyholder.

If you meet the criteria and wish to progress with your claim lodgement, click the 'Contact details' button at the bottom of this page.