NEW CLAIM OR INCIDENT

Please note: For any current claims in progress, correspondence can continue as usual with your dedicated Claims Manager. The centralised email inbox is for new claims only.

New Claim or Incident Lodgement

Are you lodging a New Claim or an Incident?*
COUNCIL CONTACT DETAILS
Council Name*
Contact Name*
Email*
Phone Number
CLAIM / INCIDENT DETAILS
Claimant Name
Description of loss
Date of incident
DD slash MM slash YYYY
Date council was notified
DD slash MM slash YYYY
Location of incident
If a property claim, please provide an asset number
Please attach any documents to support the claim / incident
Drop files here or

Accepted file types: jpg, gif, png, pdf, doc, docx, xlsx, csv, Max. file size: 600 MB.
Collection Statement
Statewide Mutual is managed by JLT Risk Solutions Pty Ltd (ABN 69 009 098 864 AFSL 226827) and is a business of Marsh and McLennan Companies (MMC). For details on how we use this information please refer to our Collection Statement which can be found here

NEW CLAIM OR INCIDENT

New Claim or Incident Lodgement

COUNCIL CONTACT DETAILS

CLAIM / INCIDENT DETAILS

Collection Statement

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