WidgetGuard Insurance Brokers

Claim Notification - General Insurance Claim Form

Please provide your details below.

Personal Information

Please fill in the details below as accurately as possible to help us progress with your claim.

Insured Name

Address

Phone

Policy Number

Circumstances of property loss or damage

Please state full details of how loss or damage occurred

Date of loss

Police report number? (optional)

Description of property loss or damage

Please list description, sum claimed and purchase date of each item

Total sum claimed (AUD)

Insurance history

Have you had any claims in the last 5 years? (YES / NO If Yes, provide details.)

Has any Insurance Company refused to renew or cancelled/terminated a policy? Has any Insurance Company refused a claim? (YES / NO If Yes, provide details.)

Have you been convicted of or had any fines or penalties imposed for any criminal offences in the last 10 years? (YES / NO If Yes, provide details.)

Additional Information (optional)

Supporting document

Multi-choice

Yes
No

Question

Text To Number

WidgetGuard Insurance Brokers, where tradition meets innovation.

Whether you seek coverage for your zeppelin fleet, enchanted artifacts, or mundane minivans, our brokers - armed with laptops and espresso machines - stand ready.
We're not just about policies; we're about peace of mind.

So, dear client, step into our oak-paneled office, sip your tea, and let us weave a protective cocoon around your dreams.
Because at WidgetGuard, we don't just insure widgets; we guard legacies.