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For Motor claims select YES when asked, “Would you like to use Zurich’s Priority Repair Network to repair your vehicle?” for services that are

Fast

Automatic authorisation to commence repairs

Easy

No repair quotes or assessment required

Quality

Lifetime guarantee on the workmanship of all authorised repairs.

Are you a broker submitting this form? *

Yes

I don't know the policy number

Can't find the address

Were the police notified of the incident? *

Yes

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Should your claim result in a payment being made to you, please provide us with your bank/direct deposit details.

Please review the information you have provided for the claim carefully. If you would like to change any information, you may do so by clicking on the 'Change' button. Once you have reviewed the information, please read the following before clicking on the 'Submit Claim' button.

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Declaration

Are you a broker submitting this form?

Your First Name

Your Last Name

Your Email Address

Your Phone Number

What kind of claim is this?

Policy Number

Your Reference No

Date

Time

8:48 PM

Address Line 1

Address Line 2

Address Line 3

Suburb

State

Postcode

What happened?

Attachments

Who is the preferred contact for this claim?

Is there anyone else who needs to know about this claim?

BSB No

Account Number

Account Name

By submitting this claim you agree to the declaration. Click here to read it.

Zurich Online Claim Form

Driver 1 details

Let's get started You can call 1800 611 372 at any time to discuss your claim even if you lodged your claim online.

Policy Details

Incident Details

Other Driver Details

Driver 1 details

Third Party Property

Witness Details

Attachments

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Getting Started

Policy Details

Incident Details

Attachments

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Legal Information