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Vision Claims
Winbeat Client Code
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Insured Name
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Policy number
*
if unknown, please enter the postal address of where the policy is sent.
Client Phone Number(s)
*
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Date and Time the loss occurred
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Type of claim - Choose all that apply
*
Fire
Storm
Water Damage
Loss of Rent
Malicious Damage
Accidental Damage
Glass Breakage
Damage by Tenant
Theft/Burglary
Electric Motor Burnout
Other (please specify below)
Please provide a detailed description of the loss/damage that occurred
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Were the Police notified?
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Yes
No
Please tick all that apply
Quote for Repairs obtained by client from their own repairer
The Insurer is to appoint their own panel builder for repairs
An assessor is required and to be appointed by the Insurer
Photo's of the damage obtained by client
Police Report obtained by client
Proof of Ownership available from client
An emergency make safe is required
An emergency make safe has already been arranged - details below
None of the above
Upload claim documentation here
Drop files here or
Max file size: 20MB
Is the Insured registered for GST
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Yes
No
If yes, please advise the Insured's ABN
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Does the Insured claim 100% ITC
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Yes
No
Please specify the ITC percentage % for the client if not claiming 100%
*
Name of BJS Gippsland team member who lodged claim
Adam Ware
Teresa Dennerley
Amelia Robertson
Lachlan Scott
Brody Yann
Chris Denzil-Williams
Name
This field is for validation purposes and should be left unchanged.