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CLAIM Form...
*First Name:

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*Surname:

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Company:
Address:
 Postcode:  State
*Phone:

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Fax:
Email:
 
Mobile:
Claim type:
Home   Car   Business   Liability   Other:
Policy No:
 
Best time to Call? AM PM
*Comments:

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* Compulsory Fields






Here are just some of the services we offer!

• Home & Contents
• Builders Insurance
• Professional Indemnity
• Caravan Insurance
• Office Insurance
• Tradesman Insurance
• Business Insurance
• Truck Insurance
• Farm Insurance
• Motorbike Insurance
• Investment Properties
• Industrial/Commercial

We surveyed all our clients who have made a claim in the past twelve months, 100% of the clients surveyed rated our claims service excellent!

 

Simplex Insurance, 208 Skipton Street, Ballarat VIC. 3350
AFSL No.284342 - ABN. 20 574 084 747
1300 309 237 (Cost of a local call)   -   F. 03 5331 5622

E. info@simplexinsurance.com.au

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