Claims

Submit your claim

Product Select(Required)

THE ISSUE OF THIS FORM IS NOT AN ADMISSION OF LIABILITY AND IS ISSUED WITHOUT PREJUDICE.

MOTOR VEHICLE CLAIM FORM

THE ISSUE OF THIS FORM IS NOT AN ADMISSION OF LIABILITY AND IS ISSUED WITHOUT PREJUDICE.

MUSICAL INSTRUMENTS CLAIM FORM

THE ISSUE OF THIS FORM IS NOT AN ADMISSION OF LIABILITY AND IS ISSUED WITHOUT PREJUDICE.

IT IS A CONDITION OF YOUR POLICY THAT WRITTEN DETAILS OF THE CLAIM ARE RECEIVED BY INSURERS WITHIN 30 DAYS.

Privacy Clause

We value the privacy of our clients. The information you give us is used to help with arranging and managing insurance and may be shared with the insurer, and others who work in claims on behalf of us (including loss assessors, claims administrators, repairers and lawyers). It may also be used by us to develop and improve our service offerings to you, including in relation to changing insurers and products we distribute to you. We do not trade, rent or sell your information. Please note all those named on the insurance policy will have access to the information supplied to us. We also use your contact details to send you direct marketing communications including education content, offers, updates and newsletters relevant to our service offering (to the extent permitted by law). If you do not want to receive this information, just let us know and we will take you off the list. For more information about accessing and updating the personal information we hold about you, ask us for a copy of our privacy policy. Or you can find a copy on our website ebmcoverlink.com.au/privacy-policy/

Policy Number(Required)

Your Name(Required)

First Last

Name of Insured (if different to the above)

First Last

Email(Required)

Phone

Mobile

Address(Required)

Street Address City State Postcode

Date of Loss/Damage(Required)

Description of items lost or damaged(Required)

Describe how the loss/damage occurred(Required)

If you have photos of the damaged item(s), please attach here

Drop files here or

Max. file size: 4 MB.

IF THEFT, MALICIOUS DAMAGE OR LOSS IS INVOLVED, THE POLICE MUST BE NOTIFIED PROMPTLY AND A POLICE REPORT NUMBER OBTAINED

Have the Police been notified?

Yes

Report / Reference Number(Required)

Station

Date of Notification(Required)

If damaged, do you have a repair quote?

Yes

Please provide an estimate of the repair cost(Required)

What is the total value of the repair quote?(Required)

Name of Repairer(Required)

Repairer Address(Required)

Street Address City State Postcode

Attach repair quote here(Required)

Drop files here or

Max. file size: 4 MB.

I hereby declare that the details given on this form are complete and true to the best of my knowledge.

Signature(Required)

CAPTCHA

The EBM CoverLink team is here to help

To start the claim process

Submit your claim

MOTOR VEHICLE CLAIM FORM

MUSICAL INSTRUMENTS CLAIM FORM

Privacy Clause