General Claims - Bruce Insurance

Submit your claim

Page: Claims - General

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

Personal information

Insured Name*

Address*

Email*

Phone*

Policy number*

Insurance Product*

Circumstances of property loss or damage

Date of loss*

Time of loss*

Please state full details of how loss or damage occurred*

Police report number? (optional)*

Description of property loss or damage

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

Total sum claimed*

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)

Do you have a supporting quote, invoices or photo’s that will assist us to lodge your claim with your insurer? (If yes – please email these to claims@bruce.com.au).

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