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Making a claim

Our Auckland-based team is here to help!

Please fill in the details of your claim and submit it to us. We’ll get back to you as soon as possible – usually within one working day.

When you complete and send our online notification form it is automatically delivered to both GSI Direct and our legal advisers who have been pre-approved by the underwriters. The legal advisers will check the notification to see if urgent steps are required.

Rest assured, we’ll do everything we can to help you in the event of a claim. We know how important it is to your business.

Details of the insured:

Name/s of the insured:

Policy reference:

Period of insurance:

Broker details (if appropriate):

Contact name:

Contact number:

Details of circumstance / claim:

Name of (potential) claimant/s:

Date of the incident out of which a claim has been made or is likely to be made against the insured:

Date when the insured first became aware there existed a set of circumstances which are likely to result in a claim being made against them:

Date when the insured first received notice of intention of any party to make a claim:

Please provide details of the facts or circumstances giving rise to this notification:

Please provide your estimate of possible damages or the potential amount of any claim:

Form completed by:

Form completed date: