Landlord Claims

Claim Form - Landlord

DD slash MM slash YYYY
Where did the loss or damage occur?(Required)

Property Damage or Theft

If damage is the result of fire, did the fire brigade attend?
If damage/loss is the result of burglary, were the police notified?
Please attach a copy of the police report
Is another person responsible for the damage?
Items Damaged, Lost or Stolen(Required)
Purchase Date
Replacement Value
Please provided copies of tax invoices or repair quotes.

Loss of Rent

DD slash MM slash YYYY
DD slash MM slash YYYY
DD slash MM slash YYYY
Did the tenant give any notice to leave the property?
Was the tenant evicted by court order?
DD slash MM slash YYYY
Has the property been re-let?

Tenant Default

Full name of defaulting tenant:
Tenant's forwarding address
Please advise if emergency repairs have already been completed
DD slash MM slash YYYY
Drop files here or
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