Claim Assessment Request Vero Brand Vero ANZ AMP Crombie Lockwood Claim Number Customer Name Address Best Daytime Phone Phone 2 Phone 3 Email Contact Person Limit Per Item $ Limit Total $ Claim Details Burglary Loss Damage Salvage Only Excess to Collect PRN Comments Claims Handler Name Direct Dial Email List of Items 1. Add Another Item add Additional Items Details of Any Specified Items Attachment(s)
