The issue or acceptance of this form is not to be construed as an admission of liability on the part of the Company. Please provide complete details to the questions asked on this form. If there is insufficient space for your answers please use the Additional Information section on the back of this form.
The issue or acceptance of this form is not to be construed as an admission of liability on the part of the Company.
Please provide complete details to the questions asked on this form. If there is insufficient space for your answers please use the Additional information section of this form.
SECTION 9: PRIVACY COLLECTION STATEMENT
We are committed to protecting your privacy. We collect the personal information we need to assess insurance applications, provide quotations, issue insurance policies and assess claims made under them. We may not be able to do these things if you don't provide the information we need.
We provide your personal information to the insurer that underwrites your insurance and our related companies. We provide your name and policy number to any intermediary that arranged your policy or referred you to us. We may also provide relevant personal information to our trusted suppliers including financiers, loss adjusters, assessors, surveyors, repairers, professional advisers, document storage centres and IT service providers. Depending on the nature of your claim, we may also need to provide relevant personal information to authorities (such as the police, licensing and registration bodies and the Australian Financial Security Authority) and to other insurers in the event of recovery or litigated action.
We may use your contact details to send you marketing communications that we believe will be of interest to you. You can opt out from receiving these at any time.
If this Claim Form includes personal information such as names, addresses etc of any other person, you must ensure that you have that person's consent to provide this information to us and that you provide them with the information in this Privacy Collection Statement.