Enter a "Quick" Claim

Fields marked * must be completed.
*School Name
*School Address
*School Suburb
*School State
School Postcode
*Contact Name
*Contact Phone
*Contact Email
*Student First Name
*Student Surname
*Parent Name
*Parent Address
*Parent Suburb
*Parent State	ACT N.T. NSW QLD S.A. TAS VIC W.A. NZL
*Parent Postcode
*Parent Phone
*Parent Mobile
*Parent Email
*Supply Year	2026 2025 2024 2023 2022 2021
*Serial
*Loss Description	Dropped Liquid Spill Fell out of locker Knocked off desk Pulled off desk Tripped over cables Closed lid on object Stepped on Sat on Scratched Software fault Loss of data Bumped into wall or desk Damaged in car or public transport Inserted peripheral incorrectly Mechanical Breakdown Damaged by mould Damaged by rats, mice, insects or other animal Damaged by heater or lamp Malicious Damage Damaged or stolen on aeroplane or cruise liner Damaged or stolen while moving premises Damaged or stolen by courier or other professional transporter Lost Theft Theft from car Theft from school Theft from home Theft from other building Theft or damage by friend Theft outside of school, home or other building Faulty Battery Storm damage at home Power surge at home Lightning strike at home Water damage Other
Loss Details
*Loss DateTime	(Midnight) 12 AM 1 AM 2 AM 3 AM 4 AM 5 AM 6 AM 7 AM 8 AM 9 AM 10 AM 11 (Midday) 12 PM 1 PM 2 PM 3 PM 4 PM 5 PM 6 PM 7 PM 8 PM 9 PM 10 PM 11 : 00 30
*Loss Location	Home School Vehicle Other building School Excursion or Activity Aeroplane or cruise liner Removalist vehicle Public Transport Shopping Centre Park or sporting oval Courier Overseas
Who caused the Loss/Damage?
*Pre Existing Damage	Yes No
Pre Existing Damage Description
Declaration I declare that all information I have provided in relation to this claim is true and correct. I also agree to allow the Insurer and/or their Agents, to discuss details of this claim with the Police, any Insurance and/or Finance Company (and/or their Agents), and if necessary permit the Insurer and/or their Agents to utilise this claim form for the purpose of making a Dual Insurance claim against any Insurance Policy that may also cover the equipment. Where necessary, I also agree to allow the disclosure of any finance Payout & Purchase Figure of the item/s described and the Payment History of any finance contract to be disclosed to the Insurer and/or their Agents. Parents whose child is not of legal age must ensure this form is fully completed by discussing it with the child before submitting this claim form.
*Declaration Accepted
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