Tools and Portable Equipment Insurance Claim Form

Submit your claim

Page: Claims - Tools and Portable Equipment

"*" indicates required fields

Company

This field is for validation purposes and should be left unchanged.

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

Insured name*

Email*

Phone*

Policy number*

Insurance Product*

Claim details

Date of loss or damage*

Time of loss or damage*

Loss or damage details*

Description of lost/stolen items (Make & Model, Serial no., Year item was purchased)*

Police report number*

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).