Enter a "Quick" Claim
Fields marked * must be completed.
*School Name
*School Address
*School Suburb
*School State
School Postcode
*Contact Name
*Contact Phone
*Contact Email
*Student First Name
*Student Surname
*Parent Name
*Parent Address
*Parent Suburb
*Parent State
ACT
N.T.
NSW
QLD
S.A.
TAS
VIC
W.A.
NZL
*Parent Postcode
*Parent Phone
*Parent Mobile
*Parent Email
*Supply Year
2026
2025
2024
2023
2022
2021
*Brand
*Model
*Serial
*Financed
Yes
No
Finance Company
Finance Company Phone
Finance Contract Number
*Loss Description
Dropped
Liquid Spill
Fell out of locker
Knocked off desk
Pulled off desk
Tripped over cables
Closed lid on object
Stepped on
Sat on
Scratched
Software fault
Loss of data
Bumped into wall or desk
Damaged in car or public transport
Inserted peripheral incorrectly
Mechanical Breakdown
Damaged by mould
Damaged by rats, mice, insects or other animal
Damaged by heater or lamp
Malicious Damage
Damaged or stolen on aeroplane or cruise liner
Damaged or stolen while moving premises
Damaged or stolen by courier or other professional transporter
Lost
Theft
Theft from car
Theft from school
Theft from home
Theft from other building
Theft or damage by friend
Theft outside of school, home or other building
Faulty Battery
Storm damage at home
Power surge at home
Lightning strike at home
Water damage
Other
Loss Details
*Loss DateTime
(Midnight) 12
AM 1
AM 2
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AM 11
(Midday) 12
PM 1
PM 2
PM 3
PM 4
PM 5
PM 6
PM 7
PM 8
PM 9
PM 10
PM 11
:
00
30
*Loss Location
Home
School
Vehicle
Other building
School Excursion or Activity
Aeroplane or cruise liner
Removalist vehicle
Public Transport
Shopping Centre
Park or sporting oval
Courier
OS
Who caused the Loss/Damage?
*Pre Existing Damage
Yes
No
Pre Existing Damage Description
*Who is the owner of the equipment?
Is the owner registered for GST?
Yes
No
If 'yes', what percentage of the GST is being claimed?
0
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%
Declaration
I declare that all information I have provided in relation to this claim is true and correct. I also agree to allow the Insurer and/or their Agents, to discuss details of this claim with the Police, any Insurance and/or Finance Company (and/or their Agents), and if necessary permit the Insurer and/or their Agents to utilise this claim form for the purpose of making a Dual Insurance claim against any Insurance Policy that may also cover the equipment. Where necessary, I also agree to allow the disclosure of any finance Payout & Purchase Figure of the item/s described and the Payment History of any finance contract to be disclosed to the Insurer and/or their Agents.
Parents whose child is not of legal age must ensure this form is fully completed by discussing it with the child before submitting this claim form.
*Declaration Accepted
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