Claim Form - Strata Name of Insured(Required) Date of Loss(Required) DD slash MM slash YYYY Name of Authorised Person(Required) First Last Your relationship to the insured(Required) Chairperson Lot/Unit Owner Strata Manager Phone Email Name of Building Manager First Last Building Manager's Phone or Email Have repairs been undertaken? Yes No if Yes, please attach the invoice(s)If the repairs have not been completed, have you obtained quotations to repair the damage? Yes No if Yes, please attach the quotation(s)Description of Incident(Required)Details of Items Damaged, Lost or StolenDescriptionAmount Add RemoveWas the incident reported to the police? Yes No Police Station & Officer's Details Police Report No. Is there a third party involved? Yes No Third Party's Name First Last Phone or Email Additional InformationConsent I/We declare that the whole of the above information and answers are true in every detail and no information has been withheld.Name(Required) First Last Date(Required) DD slash MM slash YYYY File Drop files here or Select files Accepted file types: png, jpg, pdf, doc, docx, Max. file size: 16 MB. CAPTCHA
