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Items with a * are required
Claim Number*
Brand
AA
SIS
SunDirect
Claim Details
Burglary
Loss
Damage
Comments
List of items: (please also send original list)
1.
2.
3.
4.
5.
Additional Items
Details of any specified item:
GemLab to ascertain Customer's preferred jeweller for replacement?
Yes
No
Customer Name*
Title
Mr
Mrs
Ms
Mr & Mrs
Dr
Prof
First
Last
Address
Suburb/Town
Contact Home*
Contact Work
Contact Mobile
Contact Email
Attachments - Maximum Size 2MB Each
Attachment #1:
Attachment #2:
Attachment #3:
Attachment #4:
Attachment #5:
Attachment #6:
Attachment #7:
Attachment #8:
Attachment #9:
Attachment #10:
Other documentation being forwarded?
Yes*
No
*Original written schedule of loss and/or supporting evidence such as valuations, photos, receipts, quotes, etc. should be forwarded to GemLab. Photos (other than digital) should be mailed to address below.
GemLab Fax
09 489 9924
Email
claims@gemlab.co.nz
Postal Address
PO Box 305-299, T
riton Plaza, North Shore City 0757
Valuation Report will be sent to homeclaims@aainsurance.co.nz and copied to:
Customer Manager*
Direct Dial
Fax
Email
