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Brand:
Vero
ANZ
NatBank
AMP
CTI
Claim Number:
Customer Name:
Address:
Suburb/City:
Email:
Phone:
Home
Work
Mob
Contact Person:
Limit Per Item:
Limit Total:
Claim Details
Burglary
Loss
Damage
Comments:
Claims Handler:
Assessor:
Direct Dial:
Direct Dial:
*
Email:
Email:
*The report will be sent to both emails if entered
List of items: (please also send original list)
1.
2.
3.
4.
5.
Additional items:
Which items are specified?
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
*Written lists and/or supporting evidence such as valuations, photos, receipts, quotes, etc. should be forwarded to GemLab. Original photos (other than digital) should be mailed to the PO Box as below:
GemLab Fax:
09 489 9924
Email:
claims@gemlab.co.nz
Postal Address:
PO Box 305-299, T
riton Plaza, North Shore City 0757
