This claim form can be used for the following policies;
Before you begin your claim, make sure you have the following details available:
Please complete all the mandatory (*) areas of this claim form.
The General Insurance Industry has developed the General Insurance Code of Practice (the Code) for use by insurers.
Catholic Church Insurance Limited (CCI) has adopted and enthusiastically supports the Code because it:
requires the provision of high standards of good practice and service
requires the provision of more relevant and useful information to consumers
promotes understanding of your rights and obligations under our insurance contracts
promotes informed and effective relationships between consumers, insurers and agents
provides a process for the resolution of disputes.
The Code sets out what we must do when dealing with you through all stages of our relationship with you - whether you’re taking out insurance, making a claim (including setting out timeframes for making a decision on your claim), or have a complaint. The Code also contains special provisions setting out how we must deal with claims resulting from catastrophes and disasters.
If you want more information about the Code, or to obtain a copy of the Code please contact us or visit the Insurance Council of Australia website here.
If we are unable to provide you with insurance cover, CCI will:
give you reasons for our decision;
refer you to another insurer, or the Insurance Council of Australia or NIBA for information about alternative insurance options (unless you already have someone acting on your behalf); and
if you are unhappy with our decision, make available information about our complaints handling procedures.
Alternatively, there may be other external dispute resolution options available to you including:
State and Territory Review Tribunals (such as the Victorian Civil & Administrative Tribunal),
Mediation or Arbitration (where we both agree to use this option), and
Please provide details of the individual responsible for your loss or damage, as outlined in your police report.
Please provide your supporting documentation here.
Please provide banking details for payment by direct deposit. If your preferred payment is by cheque, please leave blank.
I declare that all the information contained in this claim is correct.
You are about to submit your claim. Please make sure you check all information carefully.
Once you submit your claim, you will receive an email with a PDF copy of your claim details.
A member of our claims team will then contact you within 3 business days to finalise your claim.
If you have any questions about the progress of your claim, please contact 1800 011 028.
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